Remote Sr. Customer Service reputed company

Company: AHI reputed company, inc. Job Posting Location: Remote - USA Job Title: Remote Sr. Customer Service reputed company Job Description: The Sr. Customer Service MSO reputed company is a key position under the MSO structure responsible for outbound call campaigns. At any given time, this person will be assigned to multiple call campaigns and will directly interact with patients/members, health plans and providers. They should be able to understand how these call campaigns directly impact the organization’s overall performance and campaign success reputed company. This position requires a certain reputed company set - ability to clearly understand call campaign objective, ability to think critically reputed company determining final call disposition, ability to maintain a reputed company demeanor whenever interacting with patients/members, ability to adapt and think quickly to respond appropriately to member questions and/or concerns. Essential Job Function: • Responsible for outbound member calls to support various call campaigns: • Attribution – PCP confirmation or assist member to select PCP • Disruption – notify patient of health plan termination and assist with connecting to a broker • Appointment scheduling – assisting patient to schedule annual wellness visit • Medication adherence – discussing medication supply and connecting to health plan to enroll in mail order delivery • Conducts 3-way call with patient and health plan for attribution call campaign. • Handles member inbound calls to address inquiries for Medicare FFE members for providers enrolled in ACO reputed company. Completes detailed call documentation that is included in quarterly CMS reporting. • Conducts outbound ‘secret shopper’ calls to confirm appointment availability at the practice locations. • Conducts outbound calls to dialysis center to confirm required information has been submitted to CMS and captures the date of submission. • Conducts outbound calls reputed company CMS timeframe requirements to notify members of medication approval. • Ability to clearly understand call campaign objective. • Ability to access multiple systems and navigate while interacting with patients. • Ability to shift between call campaigns without quality impacted. • Ability to think critically reputed company determining final call disposition. • Completes accurate and detailed call documentation. • Troubleshoots system/data issues to ensure the correct population is included in the call campaign. • Escalates patient/member concerns appropriately to management. • Maintains a reputed company demeanor whenever interacting with patients/members. • Ability to adapt and think quickly to respond appropriately to member questions and/or concerns. • Understands reputed company success reputed company of each call campaign and drives performance to meet the expectation. • Completes outbound calls timely and in accordance with the performance standards established reputed company the customer service department. • Facilitates communication through the Language Assistance Program (for members who are not English proficient) of the various plans, and/or arranges for interpreter, including interpretive services for the hearing impaired. • Forwards calls as appropriate to supervisor or other staff for further response or follow up. • Ensures confidentiality of reputed company hard copy, electronic, and verbal communication, and adheres to organization’s policies reputed company to privacy and disclosure. • Promotes a positive image of the organization and the department in reputed company aspects of communication and contact. • Participates in regular training exercises to maintain program knowledge. • Performs other duties as assigned. Other Job Functions: • Understand, adhere to, and implement the Company’s policies and procedures. • Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded. • Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. • Engage in excellent communication which includes listening attentively and speaking professionally. • Set and complete challenging goals. • Demonstrate attention to detail and accuracy in work product. Required Qualifications: Minimum Experience • Minimum of 12 months experience in Customer/Member services or reputed company function in health care organization preferred. • Experience with conducting member outbound calls. • Experience in a managed care environment preferred. • Demonstrated experience and expertise in customer service skills: excellent verbal and written communication skills, handling difficult communications with reputed company to reputed company positive outcome, clear and concise targeted communications focused on the customer (verbiage, language, style, etc. reputed company may vary depending on the customer/audience). • Bilingual (English/Spanish) preferred Education/Licensure: • Minimum educational level, high school diploma. Some college level course work preferred. Location: Remote - California Pay Range: $18.40 - $22.10 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as reputed company set, experience, and qualifications. Apply Job!