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Medical Call Center Representative

2 months ago

Des Moines, United States A-Line Staffing Solutions Full time

Full time Call Center / Customer Service Representative openings in the West Des Moines with a major healthcare company Starting ASAP

PAY RATE: $17.00

HOURS: 8 hr-shift between 7:30am 6pm, Monday through Friday. Potential OT.

  • Role on-site for training. Must be fully vaccinated and must be able to provide proof of vaccination

Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the clients issue, offer possible solutions or providing follow-up as needed. Customer service agents may be inbound, outbound or a combination of both.

Job Responsibilities:

  • Handled inbound / outbound calls
  • Assist members and providers with PCP changes
  • Resolve customers service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
  • Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
  • Refer unresolved customer grievances to designated departments for further investigation.
  • Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.

Required:

  • High school diploma or GED
  • Call center experience
  • Use multiple programs at once
  • Excel knowledge

Why Apply:

  • Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
  • GREAT Hours
  • Competitive Pay Rate

Healthcare, call center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization, reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing