Senior Call Center Representative

4 weeks ago


Bellaire, United States Texas Children's Hospital Full time
Job Description

We are searching for a Senior Call Center Representative- someone who works well in a fast-paced setting. In this position, you will serve as a member and/or provider advocate that understands the organization's processes, policies, and procedures to investigate, resolve and/or facilitate the resolution of simple to complex issues/questions. You will be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals and/or any other member/provider demands. Lastly, you will assist and advocate for members and/or providers throughout the complaint and appeal process and support members with timely appointment scheduling.

Think you've got what it takes?

Job Duties & Responsibilities
•Act as a secondary resource to Call Center Representatives in the absence of the Team Lead and responds to escalated calls and triages to management, if necessary
•Identify and handle a variety of routine to complex customer or prospect inquiries or requests
•Educate members about their health coverage benefits and services and empowering members/providers by directing them toward available resources for self-help
•Meet Senior Member Service Representative performance goals for customer satisfaction, quality, productivity, and all performance metrics
•Ensure all HIPAA and state privacy and confidentiality requirements/regulations are adhered to at all times
•File complaints and appeals on behalf of members and providers within the regulatory timeframe and in compliance with departmental policies and procedures

Skills & Requirements
•High school diploma or GED
•Minimum of 3 years of customer service, call center, and/or experience within managed care or insurance industry or
•A Bachelor's degree may substitute for two (2) years of the required experience

About Us

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

  • Bellaire, United States Pride Health Full time

    Job Title - Call Center RepresentativeLocation - Houston, TX 77401Duration -3 + months Shift- 9 am-5:30 pmPay Range- $18.00/hr- $20.00/hrNote - 9 am-530pm-Training will be onsite and once cleared the position in Remote contingent upon performance Job DutiesServe as a Member and/or Provider Advocate by understanding the organization’s processes, policies,...


  • Bellaire, United States Pride Health Full time

    Job Title - Call Center RepresentativeLocation - Houston, TX 77401Duration -3 + months Shift- 9 am-5:30 pmPay Range- $18.00/hr- $20.00/hrNote - 9 am-530pm-Training will be onsite and once cleared the position in Remote contingent upon performance Job DutiesServe as a Member and/or Provider Advocate by understanding the organization’s processes, policies,...


  • Bellaire, Texas, United States Harris Health System Full time

    We are seeking a skilled Call Center Coordinator to join our team at Harris Health System. As a key member of our customer service team, you will be responsible for ensuring that patients receive excellent care and support over the phone.About the RoleIn this role, you will work closely with our healthcare teams to respond to patient inquiries, resolve...


  • bellaire, United States Guitar Center Full time

    Luthier - Guitar Center at Guitar Center summary: As a Repair Technician at Guitar Center, you will provide exceptional maintenance and repair services for customer-owned instruments, ensuring a high-quality customer experience while fostering a connection with musicians. The role requires a deep understanding of guitar repairs, customer service...


  • bellaire, United States Guitar Center Full time

    Luthier - Guitar Center at Guitar Center summary: As a Repair Technician at Guitar Center, you will provide high-quality maintenance and repair services for customer-owned instruments, ensuring an excellent customer experience. You will engage with customers to understand their needs while maintaining store inventory and performing warranty repairs. The...


  • bellaire, United States Guitar Center Full time

    Guitar Repair Tech - Guitar Center at Guitar Center summary: As a Guitar Repair Technician at Guitar Center, you will provide maintenance and repair services on customer-owned instruments while ensuring excellent customer experience. You will leverage your skills in guitar repair, customer service, and sales techniques to enhance the business and foster...


  • bellaire, United States Guitar Center Full time

    Guitar Technician - Guitar Center at Guitar Center summary: As a Guitar Technician at Guitar Center, you will provide repair and maintenance services for customer-owned instruments while sustaining the store's inventory. Your role includes ensuring exceptional customer experiences through knowledgeable service and craftsmanship. The position rewards...

  • PA Call Center Rep

    1 month ago


    Bellaire, United States Harris Health System Full time

    Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on l Call Center, Customer Service, Healthcare, Patient


  • Bellaire, Texas, United States Guitar Center Full time

    Job Description:Guitar Center is seeking a skilled Senior Guitar Instrument Repair Technician to join our team. In this role, you will be responsible for providing exceptional repair and maintenance services for customer-owned instruments, as well as maintaining store-owned gear.Responsibilities:• Service customer-owned instruments with high...


  • bellaire, United States Guitar Center Full time

    Guitar Repair Tech - Guitar Center at Guitar Center summary: As a Guitar Repair Technician at Guitar Center, you will provide maintenance and repair services on customer-owned instruments while ensuring a positive customer experience. Your role includes servicing guitars with high craftsmanship, maintaining store-owned gear, and completing warranty...


  • bellaire, United States Guitar Center Full time

    Guitar Repair Tech - Guitar Center at Guitar Center summary: As a Guitar Repair Technician at Guitar Center, you will provide maintenance and repair services on customer-owned instruments while ensuring exceptional customer service. You will engage with customers to deliver a positive experience, showcase your craftsmanship in instrument repair, and...


  • Bellaire, Texas, United States Guitar Center Full time

    About the Role:We are seeking an experienced Senior Guitar Maintenance Specialist to join our team at Guitar Center.As a key member of our maintenance team, you will be responsible for providing high-quality guitar maintenance and repair services to our customers.The ideal candidate will have a strong understanding of guitar repair techniques and a passion...


  • bellaire, United States Guitar Center Full time

    Guitar Technician at Guitar Center summary: As a Guitar Technician at Guitar Center, you will provide maintenance and repair services for customer-owned instruments while ensuring a high level of customer satisfaction. Your role involves interacting with customers, servicing instruments with craftsmanship, and maintaining store inventory. Additionally,...


  • bellaire, United States Guitar Center Full time

    Retail Guitar Repair Tech at Guitar Center summary: As a Retail Guitar Repair Technician at Guitar Center, you will provide high-quality maintenance and repair services on customer-owned instruments while also managing store inventory. Your role will emphasize exceptional customer experience through proactive engagement and craftsmanship. You will also...

  • Senior Clinical Nurse

    1 month ago


    Bellaire, Texas, United States Houston Methodist The Woodlands Hospital Full time

    Job OverviewHouston Methodist The Woodlands Hospital is seeking a highly skilled and compassionate Senior Clinical Nurse to join our team as an Infusion Center Specialist. This is an exciting opportunity for a registered nurse to utilize their clinical expertise and leadership skills to provide high-quality patient care in a fast-paced and dynamic...


  • bellaire, United States Guitar Center Full time

    Retail Guitar Repair Tech at Guitar Center summary: The Retail Guitar Repair Tech at Guitar Center provides maintenance and repair services for customer-owned instruments while ensuring a positive customer experience. This role emphasizes excellent customer service, initiative, and selling skills, along with training opportunities for employees....


  • bellaire, United States Guitar Center Full time

    Luthier - Base Pay + Commissions at Guitar Center summary: As a Repair Technician at Guitar Center, you will provide expert maintenance and repair services for customer-owned instruments while ensuring a positive and engaging customer experience. Your role will involve maintaining store inventory, completing warranty repairs, and fostering customer...


  • bellaire, United States Guitar Center Full time

    Guitar Technician - Base Pay + Commissions at Guitar Center summary: As a Guitar Technician at Guitar Center, you will provide maintenance and repair services on customer-owned instruments while ensuring a high-quality customer experience. This role focuses on craftsmanship and effective communication, assisting customers with their musical needs and...


  • bellaire, United States Guitar Center Full time

    Retail Guitar Repair Tech - Base Pay + Commissions at Guitar Center summary: As a Retail Guitar Repair Technician at Guitar Center, you will provide maintenance and repair services on customer-owned guitars while enhancing the customer experience. Your role includes servicing instruments with craftsmanship, maintaining store inventory, and completing...

  • Caregiver

    3 weeks ago


    Bellaire, United States Always Best Care Senior Services Full time

    Experienced Caregivers Wanted! Are you a nurturing, dependable and warm-hearted person? Do you gain personal satisfaction in serving others? If you answered "yes" to these questions, we may have just the right career for you. Our Caregivers are the keystone of our business, providing much needed service to seniors and their families struggling to keep their...