34 applicants

Company

Convey Health Solutions · 5 hours ago

Customer Service Representative (Temporary Assignment)

Raleigh-Durham, NC

Full-time

Remote

Entry Level

$15/hr - $15/hr

1+ years exp

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Responsibilities

Process requests for Over the Counter (OTC) items received from health plan members via mail or phone call

Update account information such as billing options and changes of address or phone numbers

Answer questions pertaining to mailings sent out by the company periodically

Make concise and detailed notations as it pertains to member records

Submit mail requests for beneficiaries such as ID cards

Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage

Research premium billing discrepancies and prescription claims processed

Ensure HIPAA regulations are maintained within the immediate environment.

Responsible for concise and detailed notations as it pertains to member records.

Handles outbound calls for purposes of validating information.

Handles inbound calls by assisting members with a high level of accuracy and efficiency.

Escalates any member issues to management as necessary.

Responsible for maintaining a high level of call quality as set by client standards, which includes a 90% quality score and answering 80-85% of calls within 20 sec or less.

Communicate with coworkers, management and customers in a courteous/professional manner.

Conform with and abide by all regulations, policies, work procedures and instructions.

Respond promptly when returning telephone calls and replying to correspondence.

Act and behave in a professional manner to reflect a positive image of the company.

Qualification

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Call Center ExperienceHealthcare ExperienceComputer SkillsHIPAA Compliance

Required

Highschool Diploma is required

Good oral and written communication skills

Good computer skills are required.

Call center: 1 year (Required)

Ensure HIPAA regulations are maintained within the immediate environment.

Responsible for concise and detailed notations as it pertains to member records.

Handles inbound calls by assisting members with a high level of accuracy and efficiency.

Communicate with coworkers, management and customers in a courteous/professional manner.

Conform with and abide by all regulations, policies, work procedures and instructions.

Respond promptly when returning telephone calls and replying to correspondence.

Act and behave in a professional manner to reflect a positive image of the company.

Preferred

One year of customer service experience is preferred

Call center experience is preferred; healthcare and/or pharmacy industry experience a plus; or any equivalent combination of related training and experience.

A college degree is a plus.