Call Center Representative II
1 week ago
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
Call Center Reps are responsible for providing comprehensive high-quality service to all customers. The primary responsibilities, include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc. Under the Level II title, the Call Center Representative will continue Level I functions and be assigned additional responsibilities in areas that require assistance such as providing support to management staff and escalate issues within Call Center.
Job Description
- Assist management staff with special projects: i.e., PCP monthly projects (MIS-Assignments, PCP error reports)
- Record and respond to all Customer contacts and update in tracking system. Manage and ensure appropriate follow-up and closure for all customer contacts.
- Provide on-site as well as telephone orientations to new and existing members.
- 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/ Resign projects.
- Process premium payments.
- All other duties and special projects as assign by the Director of Customer Services.
- Ability to work between 8:00AM and 8:00PM Monday - Friday, and 9:00AM-5:00PM Saturday
- Training class (Paid): 9:00AM-5:00PM Monday-Friday
- High School graduation or evidence of having satisfactory passed a High School Equivalency Program; and
- 3 year of experience in a call center environment handling high volume of calls required
- 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
- Integrity and Trust
- Customer Focus
- Functional & Technical Skills
- Written/Oral Communication
- Ability to work in a fast-paced environment while keeping a high attention to detail
#LI-Hybrid
-
Call Center Representative II
2 weeks ago
New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...
-
Call Center Representative II
2 months ago
New York, United States NYC Health Hospitals Full timeMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...
-
Call Center Representative II
1 week ago
New York, United States MetroPlusHealth Full timeEmpower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the...
-
Call Center Representative
2 months ago
New York, United States Stratford Solutions Inc. Full timeJob DescriptionJob DescriptionJob Title: Call Center RepresentativeJob Types: 12 Month ContractLocation: New York NYPay: $20.00 per hourAvailable Shift 3:00 PM to 11:00 PM Saturday and Sunday are MANDATORYJob Description: Non-emergency services, respond to phone inquiries from the public; provide customer service and information to callers; attending to...
-
Call Center Representative
3 days ago
New York, United States PRIDE Health Full timeWe're looking for Call Center Representative for our client with a leading hospital in New York, NY. (Hybrid role) Please find below details of the position.Position: Call Center RepresentativeLocation: New York, NY. (Hybrid role) Duration: 9 weeks contract with extension possibilities.Shift: 9AM-5PM HybridPay - $30/hrJob Duties:The Customer Services...
-
Call Center Representative
1 week ago
New York, United States Pride Health Full timeWe're looking for Call Center Representative for our client with a leading hospital in New York, NY. (Hybrid role) Please find below details of the position.Position: Call Center RepresentativeLocation: New York, NY. (Hybrid role) Duration: 9 weeks contract with extension possibilities.Shift: 9AM-5PM HybridPay - $30/hrJob Duties:The Customer Services...
-
Call Center Representative
1 week ago
New York, United States Pride Health Full timeWe're looking for Call Center Representative for our client with a leading hospital in New York, NY. (Hybrid role) Please find below details of the position.Position: Call Center RepresentativeLocation: New York, NY. (Hybrid role) Duration: 9 weeks contract with extension possibilities.Shift: 9AM-5PM HybridPay - $30/hrJob Duties:The Customer Services...
-
Call Center Representative
1 month ago
New York, United States Capleo Global Full timeJob Title: Call Center Representative Job Location: New York, NY - 10004 Duration: 3 months (possible extension) Shift: 8:00 AM-4:30 PM Mode: On-siteDuties: Schedule appointments, reminder calls to patients. Book and reschedule clinic appointments. Answer customer inquiries regarding their clinic appointments. Must answer phones, utilize in house and pagers,...
-
Call Center Representative
1 week ago
New York, United States Apex Systems Full timeRemote Call Center Representative Apex Systems is hiring multiple candidates for a Call Center Representative opportunity with a Fortune 500 healthcare company in Oregon and SW Washington. This is an excellent opportunity for anyone looking to get their foot in the door with a well-known healthcare company with opportunity for growth. Location: Remote in...
-
Bilingual Call Center Representative
2 weeks ago
New York, United States TEEMA Full timeDo you speak another language? Spanish, Creole (Haitian), Chinese, Russian, Urdu, Korean, or Bengali? Job Title: Bilingual Call Center Representative Location: Lower Manhattan, New York Pay: $17.50 per hour Position Type: Contract - 6 months (with potential for permanent placement) Shift: Day Shift, 40 hours per week Organization: We are a health and human...
-
Call Center Representatives
1 month ago
New York, United States The Bachrach Group Full timeJob DescriptionJob DescriptionWe are currently recruiting for Call Center Representatives for our client in NYC. Person will be responsible for providing customer service to members, retirees, and beneficiaries. The ideal candidate should be highly motivated and will go the ‘extra mile’ to provide high-quality service.Responsibilities:• ...
-
Payroll / Call Center Representative
4 weeks ago
New York, United States ATRIA Consulting Full timeWe a re looking for a self-motivated individual to join the customer service team as a Call Center Representative who will provide customer service through several channels of communication across the enterprise. The successful candidate will be able to exhibit collaboration, enhance team culture an...
-
HELOC Call Center Representative
1 week ago
New York, United States Digital Risk Full timeWho we are: Digital Risk’s mission to Make Mortgages Safe relies on the perfect blending of human experience and state-of-the-art technology to serve its workforce and clients. Digital Risk’s 1,500+ team members make us one of the largest mortgage outsource providers in the U.S., supplying appraisal and mortgage processing, underwriting and closing to...
-
Payroll / Call Center Representative
4 weeks ago
New York, United States ATRIA Consulting Full timeWe a re looking for a self-motivated individual to join the customer service team as a Call Center Representative who will provide customer service through several channels of communication across the enterprise. The successful candidate will be able to exhibit collaboration, enhance team culture and demonstrate strong problem-solving skills. General tasks...
-
Call Center Representative
3 days ago
York, United States Luxury Bath Technologies Full timeAppleby Systems is one of the fastest growing brands in the acrylic bath remodeling industry. In 2016, we celebrated our 25th anniversary in business and we are looking for quality people to join our winning team. Our goal is simple, to beautify bathrooms across North America by manufacturing and installing attractive, durable and maintenance-free bath...
-
Call Center Representative
2 months ago
New Haven, United States Yale New Haven Health Full time1. Handles a high volume of incoming calls in a call center environment regarding patient and third party information to ensure that accounts reflect accurate information and third party coverage. Determines the appropriate corrective action and take Call Center, Customer Service, Representative, Customer Experience, Retail, Healthcare
-
Call Center Representative-Family Call Center
1 month ago
New Hyde Park, United States Parker Jewish Institute for Health Care and Rehabilitation Full timeJob DescriptionJob DescriptionCall Center Representative-Family Call CenterThe Parker Jewish Institute, located in New Hyde Park, NY, is seeking dedicated Call Center Representatives to join our team of professionals on a part time/per diem basis in our Family Call Center. Parker's Family Call Center is an important communications link for family members...
-
Call Center Representative
3 days ago
New York, United States Stout Risius Ross Full timeAt Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you...
-
Call Center Representative
2 weeks ago
New Orleans, United States Mktg House Ltd Full timeJob DescriptionJob DescriptionWe are looking for motivated individuals to join our dynamic team as Call Center Representatives. As a Call Center Representative, you will be the first point of contact for our customers. Your primary responsibilities will include handling inbound and outbound calls, assisting customers with inquiries, troubleshooting issues,...
-
Call Center Representative
2 months ago
York, United States Luxury Bath Technologies Full timeJob DescriptionJob DescriptionAppleby Systems is one of the fastest growing brands in the acrylic bath remodeling industry. In 2016, we celebrated our 25th anniversary in business and we are looking for quality people to join our winning team. Our goal is simple, to beautify bathrooms across North America by manufacturing and installing attractive, durable...