The Call Center Representative is responsible for answering the phones in a timely and courteous manner and providing appropriate answers to callers. Additional projects and assistance with mailing projects is also required.
Assure the accurate and timely handling of client calls with total follow through.
Provide excellent customer service.
Answer client and provider questions including, but not limited to: claims payment, status and coverage information.
Interpret client health plan protocol.
Backup to the claims processing area by assisting with reports and workflow queues as assigned.
Check tracer documentation
Phone call logs
Return incoming calls
Return mail investigation
Other duties as assigned
Proficiency in Microsoft Office Applications
Excellent verbal and written communication skills
Spanish speaking (preferred)
Good attention to detail and commitment to quality
Positive mental attitude
Ability to multi-task
Ability to work independently with minimal supervision