Customer Service Rep

1 month ago


Champaign, United States Carle Health Full time

Overview

  • Responsible for accurately and completely answering and documenting inquiries from members, employers, employer groups and providers. Facilitates communication between self, other departments, members, providers, provider offices, employers, and brokers to ensure that needs of members are met.
Responsibilities
  • EDUCATIONAL REQUIREMENTS
    None specified

    CERTIFICATION & LICENSURE REQUIREMENTS
    Medical Terminology within one (1) year of hire

    EXPERIENCE REQUIREMENTS
    Three (3) General - Customer Service. Must be proficient in using a computer keyboard, navigating multiple software applications, managing a multi-line phone and completing documentation during the course of a call.

    SKILLS AND KNOWLEDGE
    Must be able to project a professional, pleasant image, while interacting with a variety of personalities and cultures. Must demonstrate tact and diplomacy in interpersonal interactions, in addition to maintaining composure in confrontational situations.

    Essential Functions:
    • Meets standards for documentation, answering and follow-up on all benefit, eligibility, network, and claims inquiries from Health Alliance members and providers generated by telephone, walk-in, or written correspondence.
    • Takes action to resolve customer service, claims, or billing complaints by partnering with other departments if and when necessary. Follows up to ensure that appropriate changes were made to resolve the source of the problem. Refers unresolved complaints to the Customer Service Complaint Resolution Specialist or advises members/providers of the right to appeal.
    • Educates members and providers regarding a variety of insurance topics, including, but not limited to Healthcare Reform, Exchanges, coordination of benefits and Medicare coordination.
    • Processes requests for member materials including, but not limited to ID Cards, federally required Summaries of Benefits and Coverage, Policies, Schedules of Benefits, Provider Directories, Explanations of Benefits, and Remittance Advices.
    • Assists members in accessing company websites.
    • Consistently meets or exceeds department specific performance and quality requirements.
    • Basic communication skills (Telephone Courtesy Guidelines P&P, scripting, and scores/feedback from Quality Assurance Advisor and Customer Service Lead).
    • Basic computer skills (all applications used by Customer Service).
    • Basic problem solving skills.
    • Follows and adheres to accountability structure and required behavioral standards.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all here at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,500 team members in its eight hospitals, physician groups and a variety of healthcare businesses and is recognized as a Great Place to Work. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
  • Brainstorm Trooper

    5 months ago


    Champaign, United States Brainstorm Escapes Full time

    Get paid to people watch! Brainstorm Escapes is live action gaming in which participants must solve a series of clues, puzzles, and riddles to escape a themed room within 60 minutes. This provides our employees with a unique experience to learn skills that will benefit them later in their careers. About the Position Our Game Master/Customer Service Reps are...

  • Customer Service Rep

    2 weeks ago


    Champaign, United States Carle Health Full time

    OverviewResponsible for accurately and completely answering and documenting inquiries from members, employers, employer groups and providers. Facilitates communication between self, other departments, members, providers, provider offices, employers, and brokers to ensure that needs of members are met. ResponsibilitiesEDUCATIONAL REQUIREMENTSNone...


  • Champaign, United States Carle Health Full time

    EDUCATIONAL REQUIREMENTS None Required CERTIFICATION & LICENSURE REQUIREMENTS Notary certification may be required. EXPERIENCE REQUIREMENTS One year customer service experience required and/or one year customer service experience in health care prefe Customer Service, Sports, Service, Retail, Healthcare, Customer


  • Champaign, Illinois, United States Brainstorm Escapes Full time

    About Brainstorm Escapes">We are a live action gaming company that offers a unique experience to our customers. Our escape rooms are designed to challenge participants and provide an exciting adventure.Job Description">We are looking for a highly motivated and organized individual to join our team as a Game Master/Customer Service Rep.The successful...


  • Champaign, United States Carle Health Full time

    Overview Responsible for researching, resolving, documenting, and responding to inquiries related to patient accounts from patients, insurance companies, attorneys, public agencies, internal departments, employers, and third party payers. Responsible for reviewing and calculating pre-determinations and charge estimates. Assists patients with setting up...


  • Champaign, United States Carle Health Full time

    Overview Responsible for researching, resolving, documenting, and responding to inquiries related to patient accounts from patients, insurance companies, attorneys, public agencies, internal departments, employers, and third party payers. Responsible for reviewing and calculating pre-determinations and charge estimates. Assists patients with setting up...


  • Champaign, Illinois, United States Domino's Pizza LLC Full time

    About the RoleThis is a full-time position that requires you to work varied shifts, including evenings and weekends. As a Customer Service Rep, your primary responsibility will be to interact with customers in a professional and friendly manner.


  • Champaign, Illinois, United States Kroger Full time

    About UsAt Kroger, we're dedicated to serving our customers and communities. As a Customer Service Lead, you'll play a key role in ensuring an exceptional shopping experience for our customers. We're looking for a team player with strong leadership skills and a passion for delivering outstanding customer service.As a Customer Service Lead at Kroger, your...


  • Champaign, Illinois, United States beBee Professionals Full time $30,000 - $45,000

    About beBee ProfessionalsWe are a leading professional network that connects individuals and businesses. Our team is dedicated to providing exceptional support to our customers, and we are seeking a highly skilled Customer Service Ambassador to join our Champaign United States office.Compensation PackageThe successful candidate can expect a competitive...


  • Champaign, Illinois, United States Circle K Full time

    Circle K is seeking a dedicated Customer Service Representative to join our team. As a key member, you will provide exceptional customer experiences and resolve issues promptly. Your duties will include operating cash registers, inspecting facilities for safety and cleanliness, and performing multi-function tasks.Job Overview:We offer a competitive salary of...


  • Champaign, Illinois, United States Circle K Stores, Inc. Full time

    Company Overview: Circle K Stores, Inc. is a leading retailer of convenience stores with a presence in various locations across the country.Salary: The estimated salary for this position is around $12-$15 per hour, depending on experience and qualifications.Job Description: We are seeking a highly motivated and customer-focused individual to join our team as...


  • Champaign, United States Circle K Full time

    Circle K - 1301 S Mattis Ave [Retail Associate / Team Member] As a Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Ring up all sales on cash register properly; Perform multi-function operation of fuel console, lottery machine, etc.; Inspect store facilities and equipment...


  • Champaign, Illinois, United States Circle K Full time

    About the RoleAt Circle K, we are seeking a skilled Customer Service Ambassador to join our team. This is a part-time opportunity that offers a competitive salary of $12 per hour.Key ResponsibilitiesProvide exceptional customer service and resolve issues in a prompt and courteous manner.Ring up all sales on cash registers accurately and efficiently.Operate...


  • Champaign, Illinois, United States Raising Cane's Full time

    About the Role:This Cashier position at Raising Cane's offers a unique opportunity to develop your customer service and teamwork skills. As a key member of our team, you will be responsible for ensuring that every customer has an exceptional experience. We are looking for someone who is able to work effectively in a fast-paced environment and maintain a...


  • Champaign, Illinois, United States Walmart Full time

    Job DescriptionWe're looking for a Sales Associate to join our team at Walmart. As a Sales Associate, you'll be responsible for:Key Responsibilities:Review customer orders and locate merchandise on the sales floorFulfill customer orders accurately and efficientlyProvide excellent customer service and ensure customer satisfactionWhat We Offer:Estimated...


  • Champaign, Illinois, United States House of Sport Full time

    Job OverviewThe Customer Service Representative at House of Sport will provide exceptional shopping experiences for our customers by greeting everyone and proactively approaching athletes to understand their needs. This role involves ensuring all merchandise is processed according to established programs, upholding company merchandising standards, and...


  • Champaign, Illinois, United States AutoZone Full time

    **About Us**AutoZone is a leading retailer of automotive parts and accessories. We are committed to providing our customers with exceptional service and quality products.We are seeking a highly skilled Delivery Driver to join our team. As a Delivery Driver, you will be responsible for transporting parts to commercial customers in a safe and efficient...


  • Champaign, Illinois, United States JOANN Stores Full time

    About the JobJo-Ann Stores is looking for a skilled and enthusiastic Sales Floor Team Member to join their team. As a Sales Floor Team Member, your main duties will include:Processing customer transactions efficiently and accurately.Stocking shelves correctly and maintaining a clean and organized store environment.Assisting customers with purchases and...


  • Champaign, Illinois, United States Old Navy Full time

    About Old Navy: As a global leader in fashion, we're on a mission to democratize fashion and make it more accessible to everyone. Our sales floor team members are the face of our brand, delivering exceptional customer experiences that drive sales and build loyalty.">Job Summary: We're seeking highly motivated and enthusiastic individuals to join our sales...


  • Champaign, Illinois, United States Bratcher Heating & Air Conditioning Full time

    Build a Thriving Career with Bratcher Heating & Air ConditioningAt Bratcher Heating & Air Conditioning, we offer a rewarding career path in the dynamic world of HVAC sales. As our full-time Residential HVAC Sales Rep, you'll enjoy a comprehensive pay and benefits package that paves the way for your professional growth.We are proud to have been a cornerstone...