Customer Service Representative assisting a medical service provider with inquiries and account troubleshooting. Offering support to customers for health care coverage applications.
Responsibilities
Answer incoming calls from customers, general public, and providers
Complete and/or process new applications for health care coverage via the telephone and interpret eligibility determinations made by the Marketplace, and enrollment into health plans.
Facilitate translation services for non-English speaking callers according to procedures
Facilitate the fulfillment of caller requests for materials via mail, email, or download
Track and document all inquiries using the applicable systems
Transfer/refer consumers to appropriate entities according to the established guidelines
Escalate calls or issues to the appropriate designated staff for resolution as needed
Complete associated tasks according to the established guidelines
Meet Quality Assurance (QA) and other key performance metrics
Follow all policies, procedures, and protocol when engaging with caller
Attend meetings and training as requested and maintain up-to-date knowledge of all programs and systems.
Requirements
Bi-lingual Spanish a plus
High School diploma or equivalent
1 year of experience in call center environment
1 year of experience in customer service
Strong Problem Solving and Organizational Skills
Strong verbal and written communication skills
Minimum of 24 wpm typing speed
Internet access with minimum speeds of 20MBPS download and 5MBPS upload
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