Customer Care Representative I
Job Tracking ID: 753942
Job Location: Remote, USA
Job Level: Entry Level (less than 2 years)
Level of Education: High School/GED
Job Type: Full-Time/Regular
Years of Experience: Up to 2 Years
Starting Date: February 8, 2021
Salary Type:: Hourly
Customer Care Representatives are dedicated to superior customer service and first call resolution when answering and directing incoming member and provider calls. They strive to simplify the complexity of the health care industry. Successful Customer Care Representatives keep customer satisfaction at the core of every decision and behavior.
Answers telephone calls regarding healthcare policies, benefits, claims and eligibility to include Performance Guarantee groups and/or Enhanced service groups
Complete outbound calls to providers and members as needed
Demonstrate Accuracy, Customer Service, Timely Turn-Around (ACT) by working efficiently, prioritizing tasks, and meeting tight deadlines
Anticipates need with all customer inquiries, striving for first call resolution
Meets call monitoring quality standards
Consistently meets turnaround time with all Call Tracking
Applies proper phone usage and meets goals and basic standards for all AUX functions
Performs other duties as assigned or needed
Displays teamwork by being available to work various shifts and overtime when business needs require it.
Experience and Skills:
High school degree or equivalent.
Team and goal oriented.
Strong interpersonal and problem-solving skills.
Able to demonstrate excellent attendance and punctuality.
Strong customer service attitude and professionalism.
Strong verbal and written communication skills.
Proficiency using Microsoft Office (Word, Excel, Outlook, etc.).
Possess a high degree of integrity and discretion, as well as the ability to adhere to both company policies and best practices including HIPAA and HITRUST.
Ability to efficiently perform the Key Result Areas with or without a reasonable accommodation and without posing a direct safety threat to others or self.
Protect and enhance the Core Purpose and the Core Values of AmeriBen.
Knowledge of medical and dental terminology.
1-2 years of customer service experience.
Experience taking continuous inbound calls.
Bilingual in Spanish and English.