Customer Service Representative, MercyCare Insurance

3 months ago


Janesville, United States Mercy Health System Full time

Overview:

  • Representative Member Services, MercyCare Customer Service, Days, 80 Hrs / 2 wks
  • Location: MercyCare Bldg; Janesville, WI

Responds to all incoming correspondence and telephone inquiries directly related to the CSR 2 position in a professional manner consistent with the mission of the health system. Attend seminars/training sessions. May be required to work overtime during peak periods. Performs other duties as assigned.

Responsibilities:
  • Responds to all incoming telephone calls.
  • Resolves all inquiries in a professional manner consistent with the mission of the health system.
  • Assist callers with complaints, appeals, grievances and IRO requests.
  • Attend seminars/training sessions.
  • Add membership to the PBM software
  • Add authorizations to the PBM software
  • Processing all prescription claims (DMR) through the PBM software
  • Respond to 100%of overflow phone calls by the time standards for A.M. and P.M. messages
  • Send out delays letters for all complaints within time standards established
  • Assist in the training of employees.
  • Responsible for resolving complaints within the time standards of the applicable SOP.
  • Responsible for completion of all customer service functions without close supervision.


Education and Experience:

Bachelor's degree or two years of experience in the healthcare industry, as related to this position.

Special Physicial Demands:

While performing the duties of this Job, the employee is regularly required to sit, talk and hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. Specific vision abilities required by this job include close vision, peripheral vision and ability to adjust focus. The employee is occasionally exerting up to 20 pounds of force. Must use a computer, keyboard, mouse and specific computer programs as required.

Culture of Excellence Behavior Expectations:

  • Janesville, United States Mercy Health System Full time

    Responds to all incoming telephone calls. Resolves all inquiries in a professional manner consistent with the mission of the health system. Assist callers with complaints, appeals, grievances and IRO requests. Attend seminars/training sessions. Add m Customer Service Representative, Customer Service, Insurance, Representative, Healthcare, Retail


  • Janesville, United States Mercy Health System Full time

    Overview: Claims Adjudicator Examiner, MercyCare Insurance, Days, 80 Hrs/ 2 wks Location: MercyCare Building; Janesville, WI Analyzes claims to determine extent of insurance carrier's liability in accordance with policy provisions regarding third party liabilities. Training of adjudicators and processors as assigned by manager. Respond to questions from...


  • Janesville, United States Mercy Health System Full time

    Overview: Claims Adjudicator Examiner, MercyCare Insurance, Days, 80 Hrs/ 2 wks Location: MercyCare Building; Janesville, WI Analyzes claims to determine extent of insurance carrier's liability in accordance with policy provisions regarding third party liabilities. Training of adjudicators and processors as assigned by manager. Respond to questions from...


  • Janesville, United States SASid Insurance Development Full time

    Ready to make a difference? Join our team. Help others out. Bring your dog to work. Play foosball. SASid hires equally for culture fit , technical skills, and experience. If you have the aptitude and attitude, we can help you grow your career through training, mentoring, increasing responsibility and being around other rockstar employees. An inbound...


  • Janesville, United States Mercy Health System Full time

    Overview: Customer Service Representative, Patient Financial Services, Days, 80 Hrs / 2 wks Location: MercyCare Building; Janesville, WI. Hybrid schedule opportunities available after probationary period. This position is responsible for handling all inbound calls and making outbound calls in a fast paced call center environment. Working with Mercyhealth...


  • Janesville, United States Acrisure LLC Full time

    **Acrisure LLC** **Customer Service Representative (SASid Insurance Development)** **SASid Insurance Development - Janesville, WI - Full Time** InsuranceTPA.com, an **Acrisure** agency partner, has a current need for a full-time **Customer Service Representative** in their Health Claims department. He/she is responsible for assisting customers with locating...


  • Janesville, United States Wisconsin Auto Title Loans Full time

    **Customer Service Representative** at Wisconsin Auto Title Loans, Inc Janesville, WI **Customer Service Representative :** The role of a Customer Service Representative is the first point of contact for our customers. Our Customer Service Representatives learn all aspects of our business and culture and use that knowledge to provide our customers the best...


  • Janesville, Wisconsin, United States Argus Technical Full time

    Job Summary:Argus Technical is seeking a highly skilled and customer-focused Customer Service Representative to join our team. As a key member of our customer service department, you will be responsible for providing exceptional support to our clients, ensuring their needs are met and exceeded.Key Responsibilities:Maintain a positive and professional...


  • Janesville, Wisconsin, United States Argus Technical Full time

    Job SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Argus Technical. As a key member of our customer-facing team, you will be responsible for delivering exceptional customer experiences and ensuring that our customers receive the highest level of service.Key ResponsibilitiesCustomer Communication: Respond promptly...


  • Janesville, United States Mercy Health System Full time

    JOB REQUIREMENTS: Overview Claims Eximiner, MercyCare Customer Service, Days, 80 Hrs/ 2 wks Location - MercyCare Bldg; Janesville, WI Analyzes claims to determine extent of insurance carrier\'s liability in accordance with policy provisions regarding third party liabilities. Training of adjudicators and processors as assigned by manager. Respond to questions...


  • Janesville, Wisconsin, United States First Mid-Illinois Bancshares Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at First Mid-Illinois Bancshares. As a key member of our customer support team, you will be responsible for providing exceptional service to our customers, resolving their inquiries and issues in a timely and professional manner.Key...


  • Janesville, United States Home Run Auto Group Full time

    Job DescriptionJob DescriptionCustomer Service Representative to add to our Call Center TeamJanesville Hours- Monday-Friday Some Days 8-5, some days 11:30am-8pm with Rotating SaturdaysAs a Customer Service Representative you become a cornerstone of our dealership group by providing our guests with excellent customer service in every interaction. A Customer...


  • Janesville, United States Home Run Auto Group Full time

    Job DescriptionJob DescriptionCustomer Service Representative to add to our Call Center TeamJanesville Hours- Monday-Friday Some Days 8-5, some days 11:30am-8pm with Rotating SaturdaysAs a Customer Service Representative you become a cornerstone of our dealership group by providing our guests with excellent customer service in every interaction. A Customer...


  • Janesville, Wisconsin, United States GEA Process Engineering Full time

    About the RoleWe are seeking a highly motivated and organized individual to join our team as a Customer Support Specialist at GEA Process Engineering. As a key member of our customer-facing team, you will be responsible for delivering top-notch service to our valued customers in a fast-paced industrial environment.Key ResponsibilitiesManage incoming customer...


  • Janesville, United States Mercy Health System Full time

    Overview Claims Examiner, MercyCare Customer Service, Days, 80 Hrs / 2 wks Location - MercyCare Bldg; Janesville, WI Analyzes claims to determine extent of insurance carrier's liability in accordance with policy provisions regarding third party liabilities. Training of adjudicators and processors as assigned by manager. Respond to questions from...


  • Janesville, United States GEA Group Full time

    Responsibilities / Tasks Responds to customer inquiries in a timely and professional manner (email, phone, portal, etc.) Efficiently creates & communicates offers within CRM/ERP (SAP) Manage incoming customer requests for GEA equipment, including spare parts and request routing to the proper personnel (Includes Shared Inbox Customer Handling) Efficiently...


  • Janesville, Wisconsin, United States Staff On Site Full time

    Job OverviewStaff On Site is seeking a skilled and flexible individual to join our team as a Part-Time Crew Member. As a key member of our team, you will be responsible for providing exceptional customer service and ensuring a seamless dining experience for our guests.Key ResponsibilitiesAssist a team of restaurant staff in preparing orders and interacting...


  • Janesville, United States GEA Process Engineering Full time

    Are you passionate about delivering top-notch customer service in a fast-paced industrial environment? Do you thrive in a role that combines attention to detail with dynamic, customer-facing interactions? At GEA, we're looking for a highly motivated and organized individual to join our team as a Cus...


  • Janesville, United States Midwest Dental Group Full time

    X Patient Service Representative Position in Janesville, WI **Patient Service Representative Position in Janesville, WI** **Full Time Regular - Posted 10 days ago** **Overview** **WHO WE ARE:** At Midwest Dental, we are passionate about patient care and service. If you are interested in building a career with people who work every day to be the best, and...


  • Janesville, Wisconsin, United States Wisconsin Auto Title Loans Full time

    Customer Service Representativeat Wisconsin Auto Title Loans, IncRole Overview:The Customer Service Representative serves as the initial point of contact for our clientele. In this position, you will gain comprehensive knowledge of our operations and corporate culture, enabling you to deliver tailored financial solutions that align with our customers' unique...