The HSC Health Care System ยท 1 month ago
Customer Service Associate, HYRBID
USA
Full-time
Hybrid
Entry Level
$37K/yr - $58K/yr
2+ years expThe HSC Health Care System is a healthcare provider dedicated to serving individuals with special needs. The Customer Service Associate will resolve customer inquiries related to claims and eligibility, ensuring high-quality service and support for enrollees and their families.
ManufacturingMeat and PoultryMedical
Responsibilities
Maintain 24/7 customer service access
Receive calls from enrollees and/or their caregivers, assess the nature of the call, address the needs accordingly or transfer to the appropriate department
Answer inquiries from enrollees and/or their caregivers regarding eligibility, benefits, services, provider access and availability, and special events and programs
Update and maintain enrollee demographics to include; address, telephone number, email, emergency contact information
Process requests for PCP/PDP change and issuance of new or replacement Health Plan ID cards as necessary
Facilitate oral and in-person interpretation and translation services for enrollees and/or caregivers
Assist enrollees and or/their caregivers in scheduling appointments for doctor and hospital visits, dental appointments, transportation and coordinating with retail pharmacies on prescription needs
Answer inquiries from providers on various topics such as: eligibility status of enrollees, claims filing instructions and claims status, and authorization status
Utilize telephonic technology tools to ensure all customer issues are tracked and resolved in a timely manner
Triage calls and escalations to other departments within HSCSN as appropriate
May perform other duties in addition to those outlined in this job description
Qualification
Required
High School Diploma or GED (Required)
2 years of experience in customer service, preferably in a managed care environment (Required)
Customer Service and Call Center experience preferred
Must have strong attention to detail. Ability to support mission, vision and values of HSCSN and make recommendations for improvements
Excellent customer relation skills
Proficiency with computer systems and applications, especially with Microsoft Word and have good typing skills
Communication skills that effectively establishes and maintains professional, working relationships
Excellent organizational skills
Preferred
Bilingual Language Skills
Fluency in English and Spanish
Company
The HSC Health Care System
The HSC Health System is a nonprofit health care organization committed to serving people with complex health care needs and eliminating barriers to health services.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase