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Role Description

Are you an experienced Customer Service Representative looking for a new challenge? Do you value customer service and helping your community? Are you motivated, energetic, and excited to become part of the team? If so, you might be our next new team member!

Responsibilities

• Responsible for typing/merging, proofing for clarity, printing, and mailing correspondence.
• Communicate verbally and in writing with external customers to furnish and request review information.
• Foster effective working relationships between our internal and external customers.
• Assist with and participate in Review Team in identifying areas for potential improvement, as noted on case reviews and process.
• Answers the Beneficiary Helpline through the utilization of the hunt group and available light functions.
• Determines how to best assist caller either by a service offered or by referring them to an external agency and properly enter referral into CMS system.
• All letters sent out in timely manner with correct components included and reviewed for grammatical and spacing errors.
• Get and validate notices and all components of medical records.
• Provide intake for all appeals received.
• Proficient in customer service guidelines and standards.
• Utilize internal quality control tools to assess individual work and team processes.

Qualifications

• High school diploma or equivalent.
• Post high school business courses helpful.
• Medical terminology desired.
• Excellent verbal communication skills, courteous and patient demeanor, must be customer oriented and have the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills.
• Customer focused, results oriented and capable of building and maintaining relationships with internal and external customers.
• Must be flexible and able to work as a team member and support team decisions.
• General knowledge of a PC based computer system desirable.
• Knowledge of various software packages with ability to learn additional software packages as needed.
• Must be able to multi-task and to prioritize assignments.
• Must have good organizational skills and be able to work independently.

Experience

• Two to three years clerical experience including word processing, various filing systems, and telephone customer service responsibilities.
• Prior work in a healthcare setting or medical terminology recommended.
• Previous data entry or other clerical experience is a plus.

Benefits

• Fully remote position, where you can work from home.
• Rotational shifts available for EST, CT or PST.
• Full benefits (medical, dental, vision, etc.) effective the first month following your hire date!
• Paid time off for great work-life balance.
• 401k with match with no vesting period.
• Comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest and invite you to apply to future openings that may be of interest. Best of luck in your search!