Customer Care Representative providing assistance with insurance benefits, eligibility, and claims. Responsible for analyzing problems and providing solutions through effective communication and documentation.
About the role
- Customer Service Representative engaging with customers in a call center environment for a medical supply distributor. Responsible for coordinating shipments and maintaining compliance with policies.
Responsibilities
- Communicates with internal and external customers via telephone and email in a highly professional, caring and knowledgeable manner.
- Properly documents and notes all orders with actions taken and other pertinent information.
- Maintains current knowledge of, and adhere to the company's product formularies.
- Demonstrates knowledge of insurance procedures and regulations and be able to discuss them with customers, medical professionals, and caregivers as they relate to specific customer policies.
- Executes all tasks required to accurately assist customers in receiving products for all conditions serviced by HCD.
- Meets & maintains department productivity standards as communicated by the Customer Service Management team.
- Maintains acceptable QA Standards on calls as measured by Customer Service Leadership team.
- Performs all other duties as assigned, which may vary at any time with or without notice.
- Cooperates with internal and external investigations, reviews and audits.
- Engages in good faith reporting of compliance concerns.
- Participates in annual and ad hoc compliance training.
- Performs all duties in full compliance with all federal and state statutes, regulations and policies, CHAP requirements & policies, and HCD's Compliance Program & Standards including but not limited to maintaining strict confidentiality and privacy of patients' protected health information (as defined by HIPPA) in accordance with HIPPA regulations.
Requirements
- High School Diploma or GED
- Call Center experience is required, preferably in a customer service role
- Medical experience is helpful. Medical office, CNA, etc.
- MS Office knowledge
- Preference given to bilingual candidates
Benefits
- Medical/Dental/Vision Insurance
- Health Savings Account
- Life Insurance
- 401K Plan
- Paid Holidays
- Competitive PTO schedule that includes vacation, sick, and personal days
- Paid training
- Casual dress code
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
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