Call Center Account Representative
Uniontown, OH Uniontown, OH Full-time Full-time From $15 an hour From $15 an hour 21 hours ago 21 hours ago 21 hours ago
Summary:
This position is responsible for managing all incoming telephone calls and general correspondence received from members of our Client's health plan and the providers who render treatment to these members.
DUTIES AND
Responsibilities:
Provides quality and professional customer service to members and providers, including use of proper telephone etiquette.
Responds to all communications received in a timely and professional manner.
Educates members and providers about healthcare benefits.
Resolves claim issues or concerns that may arise, including the following:
o Initiates requests for stop payments, re-issues, and/or check forgery.
o Initiates recalculation requests after verifying that benefits were incorrectly paid.
o Initiates pricing requests with the network when necessary.
o Forwards additional information to Claims Examiners for claims reprocessing when necessary.
o Researches entire file to ensure that all issues are addressed.
o Ensures follow-up on all claims issues that need resolution.
Brings issues to the Supervisor's attention.
Assists new CSRs with taking calls by shadowing.
Assists as a backup the Provider Maintenance Specialist by accurately maintaining the integrity of our provider records and updating as needed.
Provides backup in other areas, based on business needs.
Assists as a backup all dental fax backs to provider.
Assists as a backup for all faxes received by Chesterfield Resources.
Performs other related duties as assigned by management.
Qualifications:
High school diploma or general education degree (GED), or one to three months related experience and/or training, or equivalent combination of education and experience.
Previous experience in a call center or customer service role is preferred, but not required Certificates, licenses and registrations required:
None Computer skills required:
Microsoft Office Suite Other skills required:
o Demonstrate a positive and cooperative work attitude, encourage teamwork among fellow employees and customers.
o Must be able to communicate effectively with clients, claimants and professionals.
o Must be proficient in Windows operating systems, or equivalent, and have basic computer skills including data entry.
o Must be organized, have the ability to multi-task, work independently and problem solve.
HYBRID SCHEDULE:
Training up to ninety (90) days full-time in office (Monday through Friday).
OPTIONAL Hybrid Schedule upon completion of (90) day training period and successfully meeting all benchmarks (audit accuracy and call times).
Hybrid is considered three (3) days at home and two (2) days in office.
Hybrid Schedule is contingent upon performance and business needs.
If you are a motivated individual with a passion for customer service and enjoy working in a dynamic team environment, we would love to hear from you.
Apply now to join our call center team! Job Type:
Full-time Pay:
From $15.
00 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Paid time off Professional development assistance Vision insurance Experience level:
1 year 2 years Under 1 year Shift:
8 hour shift Day shift No nights Weekly day range:
Monday to Friday No weekends Work setting:
Call center Hybrid remote Office Ability to commute/relocate:
Uniontown, OH 44685:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Call center:
1 year (Required) Health Insurance Verification:
1 year (Preferred) Work Location:
Hybrid remote in Uniontown, OH 44685 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Paid time off Professional development assistance Vision insurance 1 year 2 years Under 1 year 8 hour shift Day shift No nights Monday to Friday No weekends Call center Hybrid remote Office Uniontown, OH 44685:
Reliably commute or planning to relocate before starting work (Required) Call center:
1 year (Required) Health Insurance Verification:
1 year (Preferred).
Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
This position is responsible for managing all incoming telephone calls and general correspondence received from members of our Client's health plan and the providers who render treatment to these members.
DUTIES AND
Responsibilities:
Provides quality and professional customer service to members and providers, including use of proper telephone etiquette.
Responds to all communications received in a timely and professional manner.
Educates members and providers about healthcare benefits.
Resolves claim issues or concerns that may arise, including the following:
o Initiates requests for stop payments, re-issues, and/or check forgery.
o Initiates recalculation requests after verifying that benefits were incorrectly paid.
o Initiates pricing requests with the network when necessary.
o Forwards additional information to Claims Examiners for claims reprocessing when necessary.
o Researches entire file to ensure that all issues are addressed.
o Ensures follow-up on all claims issues that need resolution.
Brings issues to the Supervisor's attention.
Assists new CSRs with taking calls by shadowing.
Assists as a backup the Provider Maintenance Specialist by accurately maintaining the integrity of our provider records and updating as needed.
Provides backup in other areas, based on business needs.
Assists as a backup all dental fax backs to provider.
Assists as a backup for all faxes received by Chesterfield Resources.
Performs other related duties as assigned by management.
Qualifications:
High school diploma or general education degree (GED), or one to three months related experience and/or training, or equivalent combination of education and experience.
Previous experience in a call center or customer service role is preferred, but not required Certificates, licenses and registrations required:
None Computer skills required:
Microsoft Office Suite Other skills required:
o Demonstrate a positive and cooperative work attitude, encourage teamwork among fellow employees and customers.
o Must be able to communicate effectively with clients, claimants and professionals.
o Must be proficient in Windows operating systems, or equivalent, and have basic computer skills including data entry.
o Must be organized, have the ability to multi-task, work independently and problem solve.
HYBRID SCHEDULE:
Training up to ninety (90) days full-time in office (Monday through Friday).
OPTIONAL Hybrid Schedule upon completion of (90) day training period and successfully meeting all benchmarks (audit accuracy and call times).
Hybrid is considered three (3) days at home and two (2) days in office.
Hybrid Schedule is contingent upon performance and business needs.
If you are a motivated individual with a passion for customer service and enjoy working in a dynamic team environment, we would love to hear from you.
Apply now to join our call center team! Job Type:
Full-time Pay:
From $15.
00 per hour Expected hours:
40 per week
Benefits:
401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Paid time off Professional development assistance Vision insurance Experience level:
1 year 2 years Under 1 year Shift:
8 hour shift Day shift No nights Weekly day range:
Monday to Friday No weekends Work setting:
Call center Hybrid remote Office Ability to commute/relocate:
Uniontown, OH 44685:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Call center:
1 year (Required) Health Insurance Verification:
1 year (Preferred) Work Location:
Hybrid remote in Uniontown, OH 44685 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Paid time off Professional development assistance Vision insurance 1 year 2 years Under 1 year 8 hour shift Day shift No nights Monday to Friday No weekends Call center Hybrid remote Office Uniontown, OH 44685:
Reliably commute or planning to relocate before starting work (Required) Call center:
1 year (Required) Health Insurance Verification:
1 year (Preferred).
Estimated Salary: $20 to $28 per hour based on qualifications.
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