Concierge Customer Service Rep

3 weeks ago

Lake Mary, United States Medwatch LLC Full time

**Scope**:
This is a critical position requiring excellent customer interaction skills. Individual is expected to accurately service and satisfy customers by responding to customer inquiries. Concierge/Customer Service Representative needs to be versatile and equipped with a strong skill set to handle the complexity of the job.

**Responsibilities**:
? Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers.
? Assist members with benefits and healthcare questions.
? Document all calls received in system-based call log.

Knowledge, Skills and Abilities
? Strong customer relations, interpersonal skills.
? Strong appreciation and ability to handle confidential & sensitive information.
? Knowledge of provider organizations and networks.
? Knowledge and understanding of CMS Medicare reimbursement rates.
? Ability to effectively negotiate rate structures.
? Patience and ability to handle difficult situations tactfully and diplomatically.
? Takes initiative to resolve situations and to accomplish projects actions and tasks.
? Excellent verbal and written communication skills.
? Independent judgment in decision making and problem solving.
? Ability to multi-task & anticipate potential needs/problems.
? Ability to build relationships with internal and external customers.
? Strong attention to detail.
? Understanding of Self-Funded health benefits a plus.
? Health Payor background preferable in self-funded industry a plus
? Claim processing skills a plus.
? Insurance verification or pre-certification a plus
? Provider office/facility billing department or financial area
? TPA experience a plus.
? Strong computer skills
? Strong analytical and research skills
? Bilingual a plus

**Education**:
Associates Degree or higher preferred but not required, Minimum High School Diploma or G.E.D.

**Experience**:
Customer Service / Call Center experience

The pay range for this position is $16.00 to $18.00

We are an Equal Opportunity Employer

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