Job Description
About the position
- Responsibilities
- Identify and resolve day-to-day operational problems using defined processes and independent judgment.
- Investigate client and provider issues, recognize root causes, and communicate resolutions within established SLAs.
- Provide excellent quality service to clients and ensure understanding of resolutions or action plans.
- Learn and maintain proficiency in multiple platforms containing provider data, member information, authorizations, and claims.
- Work with internal departments to obtain resolutions and communicate them in client-friendly terminology.
- Requirements
- Proficiency with Microsoft Outlook, Word, and Excel.
- High School diploma or equivalent; Bachelor's Degree preferred.
- 2+ years of Customer Service experience preferred.
- Experience using a CRM platform; Cherwell preferred.
- Strong organizational skills to meet deadlines.
- Ability to learn basic SQL queries as needed.
- Excellent problem-solving and analytical skills.
- Willingness and desire to continuously learn.
- Adequate home internet access with specified speeds.
- Nice-to-haves
- Experience in healthcare or related fields.
- Familiarity with client account management processes.
- Benefits
- Health insurance coverage
- Flexible scheduling options
- Professional development opportunities
- Paid holidays
- Employee discount programs
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