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Customer Service Rep. - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
- Customer Care Associate works on an operations team that strives to provide first call resolution to a specified set of customers
- This position primarily answers incoming calls for new and existing authorizations
- Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers
- Expected to meet or exceed operations production and quality measures (See Attached)
- Actively listens and probes callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution.
- Researches and communicates information regarding member eligibility, provider status and authorization inquiries to callers while maintaining confidentiality.
- Resolves customer complaints or concerns as the first line of contact.
- Makes problem resolution and triage decisions not requiring clinical judgment
- Discourages unnecessary clinical/physician phone transfers and encourages medical records to be submitted
- Helps callers understand what clinical information is required.
- Transfers calls to clinicians and physicians only for clinically escalated situations.
- Communicates appeal and denial language to providers and members when appropriate
- Uses influencing and educating skills to support members in understanding their facility options and the benefits of low-cost alternative facilities.
About Aerotek Professional Services:
Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.
- This position primarily answers incoming calls for new and existing authorizations
- Responsibilities include documenting in the appropriate systems and ensuring high quality and accurate information is provided to callers
- Expected to meet or exceed operations production and quality measures (See Attached)
- Actively listens and probes callers in a professional and timely manner to process authorizations and/or other customer service requests working towards first call resolution.
- Researches and communicates information regarding member eligibility, provider status and authorization inquiries to callers while maintaining confidentiality.
- Resolves customer complaints or concerns as the first line of contact.
- Makes problem resolution and triage decisions not requiring clinical judgment
- Discourages unnecessary clinical/physician phone transfers and encourages medical records to be submitted
- Helps callers understand what clinical information is required.
- Transfers calls to clinicians and physicians only for clinically escalated situations.
- Communicates appeal and denial language to providers and members when appropriate
- Uses influencing and educating skills to support members in understanding their facility options and the benefits of low-cost alternative facilities.
About Aerotek Professional Services:
Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.
Requirements
Customer Service-Uncategorized, healthcare, CALL CENTER
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