Senior Customer Service Representative - Full-time / Part-time

Customer Service Representative needed in Franklin, TN

Integrity Staffing Solutions is currently seeking a Customer Service Representative in the Franklin area. Integrity Staffing Solutions provides comprehensive professional level staffing services on a nationwide basis and has been bringing companies and professionals together for over 12 years. At Integrity Staffing Solutions, we find the best, highest paying professional level positions within the top companies in the area. Most of the positions we identify will never be found in a newspaper or online because of the exclusive relationships we have with our clients who trust Integrity Staffing Solution's recruiting team to identify top talent to fill their critical hiring needs. Finding a top paying job at a great company is often like signing the contract of a lifetime; let us get to work for you today!

Our client offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Their customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates. As the first national, full-service health insurer to offer a consumer-directed health plan, our client continues to lead the way with their full line of consumer-directed health care products.

Responsibilities:

• Handles customer service inquires and problems via telephone, internet or written correspondence; customer inquiries are of basic and routine nature
• Answers questions and resolves issues based on phone calls/ letters from members, providers and brokers
• Triages resulting rework to appropriate staff
• Documents and tracks contacts with members, providers and brokers
• Explains member's policy benefits and coordination with Medicare
• Determines applicable coverage provisions and verifies member plan eligibility
• Ensures compliance with requirements of regional compliance authority/ Medicare
• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/ deductible
• Performs financial data analysis as necessary
• Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• Adheres to international privacy policies, practices and procedures

Skills:

• 1+ years' relevant experience - Medicaid/ Medicare a must
• Must be able to interface well with all departments of the company and to represent the executive officer in a highly professional manner
• Strong communication skills and multitasking are a must
• Must have high level interpersonal skills to handle sensitive and confidential situations
• Position continually requires demonstrated poise, tact and diplomacy
• Must be able to type 30-35 wpm/ typing test required

Additional Details:

• Hours: Full Time
• Pay Rate: $13.69
• Employment Type: Contract -Temp to Hire potential
• Limited medical and dental coverage for contractors and their families available immediately
• Opportunities for professional growth.

Integrity Staffing Solutions is an Equal Opportunity Employer. All job offers are contingent upon the successful completion of a background check and drug screen.

OPENAF