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NYC Health + Hospitals · 1 day ago

Customer Service Representative I

New York, NY

Full-time

Onsite

Entry Level

$49K/yr - $49K/yr

1+ years exp

NYC Health + Hospitals is the largest public health system in the United States, and they are seeking a Customer Service Representative I to provide high-quality service to customers. The role involves answering customer calls, resolving inquiries, documenting customer encounters, and assisting with provider selection and eligibility issues.

Health CareHome Health CareHospitalMedicalNursing and Residential Care

H1B Sponsor Likely

Responsibilities

Strive for first call resolution, working to resolve member and provider issues as the point of contact

Utilize dual monitors and leverage computer-based resources to find answers to customer questions

Research and respond accurately to all customer inquiries related to eligibility, benefits/services, claims and authorizations

Classify and record all customer encounters clearly and concisely

Identify and escalate complex issues and provide follow-up/closure

Identify and intake customer complaints capturing all pertinent information

Assist members with PCP selection, as well as, locating providers and vendors within plan’s network

Verify and update member demographic information

Process requests for member materials, such as ID cards, member guide, provider directory, etc

Handle enrollment inquiries and generate sales leads

Handle disenrollment requests and pro-actively conduct retention efforts

Perform outreach related to New Member Orientation and PCP term/reassign projects

Process premium payments

All other duties and special projects as assign by the Director of Customer Service

Ability to work between 8:00 AM and 6:00 PM Monday - Friday, and 9:00 AM-5:00 PM Saturday

Training class (Paid): 9:00 AM-5:00 PM Monday-Friday

Qualification

Call center experienceManaged care experienceCustomer service skillsAttention to detailTrustFunctional/Technical SkillsWritten communicationOral communicationIntegrity

Required

High School graduation or evidence of having satisfactory passed a High School Equivalency Program

Minimum 1 year experience in a call center environment

A satisfactory equivalent combination of education, training, and experience

Proven experience in providing excellent service to customers in various healthcare related areas, (i.e., insurance, doctor's office, medical clinics)

Poise under pressure when dealing with difficult situations and potentially upset customers

Ability to work in a fast-paced environment while keeping a high attention to detail

Ability to work between 8:00 AM and 6:00 PM Monday - Friday, and 9:00 AM-5:00 PM Saturday

Training class (Paid): 9:00 AM-5:00 PM Monday-Friday

Preferred

Managed care experience

Benefits

Training class (Paid)

Company

NYC Health + Hospitals

Glassdoor3.5

NYC Health + Hospitals is an interconnected system of hospitals, health care centers, nursing homes, and home care.

Founded in 1875

New York, New York, USA

10001+ employees

http://www.nychealthandhospitals.org

H1B Sponsorship

NYC Health + Hospitals has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2020 (2)