Customer Service Representative

Job Description

Customer Service Representative

Full or Part Time available

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right time, in the right setting. KEPRO is seeking experienced and highly professional

Provides all customer service support for the Review Team including but not limited to the following activities: Interaction with beneficiaries and providers via the helpline, creation, formatting, proofreading of letters, and maintaining timeliness. This position requires a great deal of decision making in regard to more different types of complex appeals.

• Assists callers on the Beneficiary Helpline
• Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence.
• Communicate verbally and in writing with external customers to furnish and request review information.
• Foster effective working relationships between KEPRO s internal and external customers.
• Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• Performs other duties as assigned by Review Support Supervisor.

QUALIFICATIONS

• High school diploma or GED. Post high school business courses helpful.
• Two to three years clerical experience including word processing, various filing systems, and telephone customer service responsibilities.
• Prior work in a healthcare setting or medical terminology recommended. Previous data entry or other clerical experience is a plus Excellent verbal communication skills, courteous and patient demeanor, must be customer oriented and have the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills.
• Customer focused, results oriented and capable of building and maintaining relationships with internal and external customers. Must be flexible and able to work as a team member and support team decisions.
• General knowledge of a PC based computer system desirable. Knowledge of various software packages with ability to learn additional software packages as needed.
• Must be able to multi-task and to prioritize assignments.
• Must have good organizational skills and be able to work independently.