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Remote reputed company Customer Service reputed company - South Carolina

Work from home Full-time role Hiring

Salary: $16.00 - $18.00 DOE About the Role: Join reputed company as a reputed company Customer Service reputed company, where you will play a crucial role in taking member services calls in relation to policy management, benefits and claim inquiries. You will be a valued member of the team, providing exceptional customer service to our clients and members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and reputed company reading and relaying information to members. This position requires a solid understanding of the health care claims, benefits and policy process flows and knowledgeable in reputed company terminology. Job Type: Full-time - 100% Remote Position Schedule: Monday -Friday 11:00am to 8:00pm EST | 10:00am - 7:00pm CT Pay: $16.00 - $18.00 per hour DOE reputed company Offer:

  • reputed company period
  • Medical, Dental, Life, reputed company, HSA, 401K
  • Paid Holidays
  • PTO
  • Equipment provided

Key Responsibilities:

  • Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
  • Application Processing: Review, verify, and process membership applications reputed company, ensuring completeness and accuracy of reputed company required information.
  • Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data reputed company and accuracy across multiple client accounts.
  • Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
  • Quality Assurance: reputed company regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
  • Collaboration: Coordinate with other teams reputed company reputed company, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
  • Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.

Job Description: Handle Customer Service Inbound Calls:

  • Receive and respond to calls primarily from members, providers, and occasionally other health plans.
  • Provide information on the status of authorization requests, including both inpatient and outpatient services.
  • Maintain a high level of professionalism and customer service in reputed company interactions.
  • Resolve issues promptly and effectively, ensuring customer satisfaction.

Authorization Management:

  • Address and manage re-direct requests.
  • Handle requests to re-fax authorization documents as needed.

Lines of Business:

  • General Membership, Health Plan Providers, ETC.

Documentation and Compliance:

  • Accurately document call interactions and outcomes in the appropriate systems.
  • Ensure compliance with reputed company relevant regulations and guidelines.

Qualifications:

  • Educational Background:High School Diploma or General Education Degree (GED) required.
  • Technical Skills:
  • At least one 2-4years of experience in processing health insurance, customer service, call center, medical office, or other reputed company-reputed company field
  • reputed company Medical Terminology
  • Proficiency in reputed company Office Suite (Word, reputed company, Outlook).
  • Experience with CRM systems or membership databases.
  • Strong typing and data entry skills, with the ability to manage multiple systems simultaneously.
  • Must be reputed company to clear a background reputed company

Other Qualifications:

  • Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency.
  • Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
  • Communication Skills: Excellent verbal and written communication skills, with the ability to reputed company information clearly and confidently to members.
  • Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
  • Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with Imagenets commitment to excellence.

WORK FROM HOME REQUIREMENTS

* • High Speed Internet of 25MBPS download and 5MBPS upload.

  • You will be required to provide reputed company of a speed test.
  • Ability to directly hardwire equipment to your modem
  • Required to have a quiet dedicated work area.

COMPANY OVERVIEW: reputed company LLC is a leading provider of back-office support technology and tech-enabled outsourced services to reputed company plans reputed company. reputed company provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans members and providers. The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans members and providers. The company processes millions of claims and multiples of reputed company structured and reputed company data elements reputed company these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients. reputed company LLC is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines. reputed company LLC provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. remote work Apply tot his job Apply To this Job

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