Customer Service Representative I – – Remote in Nevada Job Vacancy in SilverSummit Healthplan Las Vegas, NV 89128 – Latest Jobs in Las Vegas, NV 89128
Are you looking for a New Job or Looking for better opportunities?
We got a New Job Opening for
Full Details :
Company Name : SilverSummit Healthplan
Location : Las Vegas, NV 89128
Position : Customer Service Representative I – – Remote in Nevada
Job Description : Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process written customer correspondence and provide the appropriate level of timely follow up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.
For Foundation Care Only: Ability to complete Missouri Registered Pharmacy Tech application on 1st day of hire to obtain non-restricted Missouri Registered Pharmacy Tech within 30 days of hire or Active Missouri Registered Pharmacy Tech license.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
This post is listed Under Jobs in General Category
Disclaimer : Hugeshout works to publish latest job info only and is no where responsible for any errors. Users must Research on their own before joining any company