Posted: Saturday, September 2, 2017 7:40 PM
Summary:Our Customer Care Center representatives address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, NY and VT Exchange plans, Medicare and Medicaid. Customer Care Center representatives need to possess the ability to work in a fast-paced environment and deal with the challenges inherent in a call-center atmosphere.The Customer Care Center Representative will make outbound calls to provide education on preventative health screenings and assist with scheduling appointments.The Customer Care Center Representative will strive to deliver excellent customer service on each call. The Customer Care Center Representative will have individual accessibility and quality goals, and will directly support additional team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. The Customer Care Center Representative will work closely with all other MVP departments, especially Operations, Utilization Management and Professional Relations. Effective and positive interpersonal skills are necessary to deliver exceptional customer service with a goal to resolve all inquiries on the initial call from the customer. Performs other duties as assigned.POSITION QUALIFICATIONSMinimum Education:Post high school education (Associates degree, college courses) considered with relevant work experienceHigh school diploma considered with call-center experienceMinimum Experience:Successful customer service experience and relevant office experienceHealthcare, health insurance experience preferredCall Center experience preferredRequired Skills:*Strong problem solving skills accompanied by effective written and verbal communication skills*Demonstrated excellent customer service skills including superior accountability and follow through*Demonstrated PC skills using Microsoft applicationsPreferred Skills:*Excellent telephone/communication skills; prior call-center experience*Familiarity with healthcare benefits and/or medical terminology*Strong PC skills*Experience in positions where adherence to strict confidentiality is required.
• Location: Rochester
• Post ID: 30758487 rochester