Customer Service Representative

2 months ago

Phoenix, United States Wollborg Michelson Recruiting Full time
Job DescriptionJob Description

We are looking for a professional who speaks Traditional Mandarin to support our team in Phoenix, AZ

Job Details:

  • 2 years of experience in claim processing, customer service, call center, health insurance, medical front office.
  • Direct Hire
  • Remote/Hybrid - Required to come in once a month to the office in Phoenix, AZ
  • Pay rate: $22.50 hourly
  • Must be Fluent in Mandarin
  • Schedule: Monday-Friday 8AM-5PM
  • Start Date: August 5th

Essential Job Functions and Responsibilities:

  • This is a highly specialized customer service position with an emphasis on excellence, privacy, compliance, and versatility within the health insurance industry.
  • The position will identify, research, process, resolve, and respond to customer inquiries and correspondence via telephone, written communication, and/or in person.
  • Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
  • Answer a diverse and high volume of health insurance related customer calls and correspondence daily.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, programs, provider networks, etc.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Document and record facts in regard to inquiries and correspondence by updating files and system.
  • Demonstrate and maintain current working knowledge of the required systems, procedures, forms and manuals.
  • Utilization Management-related accountabilities for FEP staff include:
  • Review of healthcare service requests for completeness of information
  • Collection and/or transfer of non-clinical data
  • Review of healthcare service requests for completeness of information
  • Collection and/or transfer of non-clinical data
  • Collection of defined clinical data using structured scripts or tools
  • Activities that do not require interpretation of clinical information or decisions regarding utilization of any clinical criteria for handling of a request for healthcare services or treatment

Requirements:

  • 1 year of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related fields
  • High-School Diploma or GED in general field of study
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Type 30 to 35 words per minute with 5% error rate or less
  • Intermediate PC proficiency
  • Advanced bilingual (Mandarin/English) skill in verbal communication
  • Intermediate bilingual (Mandarin/English) skill in written communication

Required Professional Competencies:

  • Maintain confidentiality and privacy
  • Practice interpersonal and active listening to achieve high customer satisfaction
  • Compose and dictate a variety of business correspondence
  • Interpret and translate policies, procedures, programs and guidelines
  • Capable of investigative and analytical research
  • Navigate, gather, input and maintain data records in multiple system applications
  • Follow and accept instruction and direction
  • Establish and maintain working relationships in a collaborative team environment

Interested? Apply today and our team will reach out if you meet the qualifications

*Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.

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