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Customer Service Representative

Solis Health Plans

Customer Services Representative

Position is fully onsite Mon-Friday, Bilingual English & Spanish is required

Location: 9250 NW 36th St, Miami, FL 33178

About Us:

Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued.

BILINGUAL in ENGLISH AND SPANISH is required

Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!

Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 8,000 members in the last year!

Join our winning Solis Team!

Position Summary:

Responsible for assisting current members of Solis Health Plans with any OTC orders, questions, concerns or issues at the designated facility.

Key Responsibilities:

  • Enters and documents Over the Counter Medication orders via phone, mail, or email for members into fulfillment data base.
  • Enters all received OTC (Over the Counter) medication orders daily.
  • Assists members with issues such as: OTC resolution, medication delivery status and related questions.
  • Ensures accuracy of all documentation related to OTC orders.
  • Follows-up with members in reference to any issues or complaints to ensure customer satisfaction.
  • Communicates effectively with other professionals and support staff in order to achieve positive customer outcomes.
  • Communicates with delivery personal (Dot Express, etc.) in regards to ensuring orders are distributed in a timely manner.
  • Promotes and contributes to a positive, problem-solving environment.
  • Assists customers, family members, medical centers and others with concerns and empathy; respect their confidentiality and privacy in order to communicate with them in a courteous and respectful manner.
  • Complies with company policies and procedures and maintains confidentiality of member's demographics in accordance with state and federal laws.
  • Ensures compliance with all HIPAA, OSHA, and other federal, state, and local regulations.
  • Participates in meetings, trainings and in-service education, as required.
  • Assists manager in other duties assigned as needed.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Minimum of a High School diploma or equivalent combination of education and experience.
  • Minimum of two years of Customer Service experience with a preference of Healthcare.
  • Efficient Data Entry and Typing Speed preferred
  • Computer knowledge is required including experience with Microsoft Office.
  • Ability to apply common sense understanding and carry out instructions.
  • Ability to work effectively, independently and in a team environment.
  • Excellent customer service skills.
  • Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization.
  • Must be patient in dealing with an elderly population and sympathetic to hearing and vision deficiencies.
  • Must be self-motivated, organized and have excellent prioritization skills.
  • Must be able to work in a fast-paced environment
  • Fluency in Spanish and English required preferred

Supervisory Responsibility:

None

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Performance Measurements:

  • Duties accomplished at the end of the day/month
  • Compliance with Department Call Metrics/ Company Regulations
  • Attendance/Punctuality
  • Safety and Security
  • Accuracy Rate

This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.

Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role.

Solis Health Plans
Vacancy posted 3 days ago
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