This is a healthcare account, anyone who is hired will specifically handle Billing and Enrollment concerns of the members.
Minimum roles and responsibilities required are, but not limited to, the following:
Respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry , Provider Inquiry pre-authorization following call procedures consistent with client-approved call procedures
Report issues on process, calls, technology in a timely manner
SHS or at least 2nd year level in college.
Preferably with minimum of 6 months experience in the call center/ BPO.
Applicants with no call center experience may still be considered based on skills required for the job.
Should have an experience on voice accounts; but those with non-voice experience can still apply if they have excellent communication skills.
Excellent communication and teamwork skills required.
Strong interpersonal skills – ability to inspire teamwork at all levels.
Ability to identify member/customer concerns & provide real-time problem-solving interventions.
Provide creative, “outside the box” solutions.
Ability to multitask – documenting the interaction while on the call with the member/customer.