Customer Service Representative
BC Forward

Job Info

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Customer Service RepresentativeBCforward is seeking a highly motivated and experienced Customer Service Representative at Conway, AR Title: Customer Service RepresentativeLocation: Conway, AR 72034Duration: 12 monthsJob Description Description:Duties and Responsibilities :

• Handles heavy inbound call volume.
• Assists providers via telephone to resolve issues or assist with changes related to their provider file.
• Updates provider files with certifications and license
• Facilitates all provider changes, such as, change of address, phone/fax update, physician specialties, etc.
• Navigates multiple licensing internet sites to obtain required verification on new enrollments and re-enrollments.
• Reviews provider enrollment applications and supporting documentation for accuracy, and corresponds with providers regarding any discrepancies.
• Follows up with providers on outstanding issues within contractual guidelines set by our customer.
• Provides excellent customer service.
• Interacts with providers in a professional manner and knows when to elevate calls, and identifies the root cause.
• Meets and retains quality and production standards set by management.
• Interacts with providers, in a timely and professional manner, including escalating recurring or critical issues to Supervisor.

State Plan / Department Specific Duties and Responsibilities

• Reviews all applications, provider requests and supporting documentation for accuracy and completeness and prepares this information to be added to the file according to policy, in a prompt, timely manner as directed per contractual guidelines.
• Ensures sanction checks are performed on all new enrollments, re-enrollments and change of ownership applications. o Returns all rejected/denied applications/forms/correspondences with written documentation giving the reason for the rejection or denial.
• Learns and processes more complex provider types.
• Assists team members with questions and provides support with high volume circumstances.
• Performs or assists with system testing for any software upgrades.
• Assists with the distribution of work objects within PETS.
• May assist with indexing as necessary.

Knowledge, Skills and Abilities

• Excellent organizational, and verbal and written communication skills
• Proficient knowledge of Microsoft Office
• Ability to multi task in a high paced environment
• Ability to make decisions independently and detail oriented
• Ability to abide by Gainwell Technologies policies
• Ability to maintain attendance to support required quality and quantity of work
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

About BCforward:BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full-service personnel solutions organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over years of catering to our customers' specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs. www.BCforward.com
Interested candidates please send resume in Word format Please reference job code 144948 when responding to this ad.

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