Job Description
Essential Job Functions
• Handles heavy inbound call volume with knowledge to address more complex concerns from Provider Community.
• Interacts with providers, in a timely and professional manner, including escalating recurring or critical issues to appropriate Team Lead or Manager.
• Navigates through the system with efficiency.
• Meets and retains all quality and production standards set by management and/or customer.
Knowledge, Skills and Abilities
• Ability to work independently with little to no supervision
• Ability to multitask in a high paced environment and retain information
• Excellent organizational, and verbal and written communication skills
• Excellent time management skills
• Proficient knowledge of Microsoft Office
• Ability to maintain attendance to support required quality and quantity of work
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Qualifications:
Required Education:
High School Diploma or equivalent GED
Preferred Education
Required Experience:
• 2 years Call Center experience
• Proficient knowledge of Microsoft Office
Preferred Experience:
• Medicaid
• Medical Claims Processing
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