Call Center Representative 1

Job Description:
CLIENT makes the healthcare system work better for everyone. We fight fraud, waste and abuse so people have access to healthcare-now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce cost, increase quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions and dollars while helping people live healthier lives. At CLIENT, you will develop new skills and build your career in a dynamic industry while making a difference in the lives of others.
We are seeking a talented individual for Employer Solutions Call Center Representative 1 who is responsible for answering inbound calls and providing excellent customer service to callers.
Essential Responsibilities:
• Answer incoming phone lines
• Follow guidelines dictated in quality program for each call.
• Ensure security procedure are met in every interaction
• Utilize DE & all applicable systems to procure needed program details to answer the caller’s questions in accordance with program guidelines.
• Ensure correct information is communicated in each interaction.
• Maintain call talk times while applying all file facts
• Following details of required call scripts
• Process incoming Level 1 docs
• Maintain quality performance in processing
• Ensure all processing and call goals are met
Non-Essential Responsibilities:
• Performs other functions as assigned
• Follow processing guidelines as
Knowledge, Skills and Abilities:
• Ability to demonstrate customer service skills.
• Ability to use and decipher file details
• Ability to us de-escalation techniques on calls
• Ability to pay attention to detail while on calls or processing files.
• Ability to display manual dexterity in the use of a PC, phone, sorting, filing and other office equipment.
• Ability to demonstrate good keyboard skills.
• Ability to maintain patient confidentiality.
• Ability to work independently, under pressure and within, restricted timeframes.
• Ability to adapt and thrive in a changing environment.
• Ability to manage time effectively.
• Ability to demonstrate a strong knowledge of customer service principles and practices.
Work Conditions and Physical Demands:
• Primarily sedentary work in a general office environment.
• Ability to communicate and exchange information
• Ability to comprehend and interpret documents and data
• Requires manual dexterity to use computer, telephone and double monitors
• May be required to work extended hours based on special business needs.
Minimum Education:
• High School Diploma or GED required
• Additional education is preferred
Requirements:
Required Function 1:
We are seeking a talented individual for Employer Solutions Call Center Representative 1 who is responsible for answering inbound calls and providing excellent customer service to callers. As a call rep, processing incoming documents between calls is an essential function.
Required Function 2:
Essential Responsibilities:• Answer incoming phone lines• Follow guidelines dictated in quality program for each call.• Ensure security procedure are met in every interaction• Utilize DE & all applicable systems to procure needed program details to answer the caller’s questions in accordance with program guidelines.• Ensure correct information is communicated in each interaction.• Maintain call talk times while applying all file facts • Following details of required call scripts• Call Center is for both Subrogation and Dependent Eligibility Verification departments
Required Function 3:
Non-Essential Responsibilities:• Performs other functions as assigned• Act as back up on processing files as needed.• Follow processing guidelines as
Required Function 4:
Knowledge, Skills and Abilities:• Ability to demonstrate customer service skills.• Ability to use and decipher file details • Ability to us de-escalation techniques on calls• Ability to pay attention to detail while on calls or processing files.• Ability to display manual dexterity in the use of a PC, phone, sorting, filing and other office equipment.• Ability to demonstrate good keyboard skills.• Ability to maintain patient confidentiality.• Ability to work independently, under pressure and within, restricted timeframes.• Ability to adapt and thrive in a changing environment.• Ability to manage time effectively.• Ability to demonstrate a strong knowledge of customer service principles and practices.
Required Function 5:
Work Conditions and Physical Demands:• Primarily sedentary work in a general office environment.• Ability to communicate and exchange information• Ability to comprehend and interpret documents and data• Requires manual dexterity to use computer, telephone and double monitors• May be required to work extended hours based on special business needs.
Required Function 6:
Minimum Education:• High School Diploma or GED required• Additional education is preferred
Required Function 7:
Minimum Work Experience• 1 year of Call Center experience• Demonstrate customer service skills is required• Able to function between two departments incoming calls