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Customer Service Representative

Full-time

MagnaCare

About The Role
MagnaCare is seeking a fully remote Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This is a remote position.



 
Primary Responsibilities
  • Greet customers in a courteous, friendly, and professional manner using agreed upon procedures.
  • Listen attentively to customer needs and concerns; demonstrate empathy and offer solutions.
  • Confirm customer understanding of the solution and provide additional customer education as needed.
  • Prepare complete and accurate work and update customer file.
  • Communicate effectively with individuals/teams in the program to ensure high quality and timely expedition of customer requests.
  • Effectively transfer misdirected customer requests to an appropriate party.
  • Contribute ideas on ways to resolve problems to better serve the customer and/or improve productivity.
  • Offer solutions to issues that are often non-standard/non-routine and require some clarification.
  • Perform other call center functions and support projects as directed by the management.
  • Balancing the demands of the caller with program requirements for quality, average handle time, and productivity.
  • Use appropriate verbiage and level of detail to formulate and adapt the response to the level of understanding the caller has about the MagnaCare processes and specific plan details.
  • Calls will require the CSR to proactively educate the caller and validate understanding before completing the call.
Essential Qualifications
  • High School diploma.
  • Some college or business school education is a plus.
  • Knowledge of basic computer operations.
  • Intermediate knowledge of Microsoft Office and email writing.
  • Knowledge of CPT codes, ICD-9. Ability to learn quickly.
  • Courteous with strong customer service orientation.
  • Dependable with proficient attention to detail.
  • Good listening and responding skills.
  • Must be flexible with the ability to adapt to changes quickly and think conceptually.
  • Solid problem-solving skills. 
  • Excellent attendance, punctuality and work record required.
 

 

Vacancy posted a month ago
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