Hays

Customer Service Representative

Hays

United States

Accepting Applications Full-time On-site LinkedIn
Posted 1 month, 3 weeks ago 8 views 0 applications
Job Description

About the Company

Under supervision, this position is responsible for answering inbound calls in a timely manner from members, member representatives, agent brokers, providers, health plan employees, employees and clients.

About the Role

Responsible to complete research using provided resources to ensure accurate and quality service is being delivered as contracted with the client while remaining within CMS guidelines and adhering to department internal policies and procedures.

Responsibilities

  • Answer inbound calls in a timely manner.
  • Complete research using provided resources.
  • Ensure accurate and quality service delivery.
  • Remain within CMS guidelines and adhere to internal policies and procedures.
  • Make outbound calls for surveys and resolution of outstanding issues.
  • Educate the caller on necessary information and alternatives.
  • Promote one call resolution.
  • Develop and maintain effective working relationships with internal and external customers.

Qualifications

  • Schedule: 8:00am – 6:00pm EST
  • 30 minute lunch break
  • 2 – 15 minute breaks

Required Skills

  • Strong communication skills.
  • Ability to research and resolve issues.
  • Customer service orientation.

Preferred Skills

  • Experience in a call center environment.
  • Familiarity with CMS guidelines.
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