For this opening we will consider candidates from the following locations: San Antonio,TX,US |
Job Functions
• Answer a variety of incoming calls from members regarding their healthcare questions and issues
• Build rapport with callers using a friendly, courteous and professional manner
• Verify/Collect demographics and update as necessary in CRM system
• Determine and execute the best resolution to assist the member based on their needs or requests
• Transfer caller to appropriate area(s) both internally and externally
• Manage tasks with timely follow-up per policies, which involve interaction with members, providers, insurance carriers and other vendors
• Handle calls in most or all Triage queues
• Perform other duties and projects as assigned by management
Other Skills/Abilities
• Bachelors degree preferred
• Previous customer service experience in healthcare preferred
• Strong Communication skills and phone etiquette
• Strong ability to explain complex issues to employees/retirees
• Highly effective listening skills
• Strong problem solving/issues resolution skills
• Excellent customer service and customer resolution skills
• Organizational and administrative skills
• Experience with Microsoft Word and Excel
• Ability to work in a team environment
• Familiar with Clinical clients processes and case handling
• Work in-house and permanent
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