Call Center Representative II

1 month ago

New York, United States NYC Health Hospitals Full time

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

Call Center Reps are responsible for providing comprehensive high-quality service to all customers. The primary responsibilities, include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc.Under the Level II title, the Call Center Representative will continue Level I functions and be assigned additional responsibilities in areas that require assistance such as providing support to management staff and escalate issues within Call Center.

Job Description

  • Assist management staff with special projects: i.e., PCP monthly projects (MIS-Assignments, PCP error reports)
  • Record and respond to all Customer contacts and update in tracking system. Manage and ensure appropriate follow-up and closure for all customer contacts.
  • Provide on-site as well as telephone orientations to new and existing members.
  • Strive for first call resolution, working to resolve member and provider issues as the point of contact
  • Utilize dual monitors and leverage computer-based resources to find answers to customer questions
  • Research and respond accurately to all customer inquiries related to eligibility, benefits/ services, claims and authorizations.
  • Classify and record all customer encounters clearly and concisely.
  • Identify and escalate complex issues and provide follow-up/ closure.
  • Identify and intake customer complaints capturing all pertinent information.
  • Assist members with PCP selection, as well as, locating providers and vendors within Plan's network.
  • Verify and update member demographic information.
  • Process requests for member materials, such as ID cards, member guide, provider directory, etc.
  • Handle enrollment inquiries and generate sales leads.
  • Handle disenrollment requests and pro-actively conduct retention efforts.
  • Perform outreach related to New Member Orientation and PCP Term/ Resign projects.
  • Process premium payments.
  • All other duties and special projects as assign by the Director of Customer Services.
  • Ability to work between 8:00AM and 8:00PM Monday - Friday, and 9:00AM-5:00PM Saturday
  • Training class (Paid): 9:00AM-5:00PM Monday-Friday
Minimum Qualifications
  • High School graduation or evidence of having satisfactory passed a High School Equivalency Program; and
  • 3 year of experience in a call center environment handling high volume of calls required
  • Proven experience in providing excellent service to customers in various healthcare related areas, (i.e. insurance, doctor's office, medical clinics)
  • Poise under pressure when dealing with difficult situations and potentially upset customers
Professional Competencies
  • Integrity and Trust
  • Customer Focus
  • Functional & Technical Skills
  • Written/Oral Communication
  • Ability to work in a fast-paced environment while keeping a high attention to detail

#LI-Hybrid

  • Call Center Representative II

    4 days ago

    New York, United States NYC Health Hospitals Full time

    MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

  • Call Center Representative II

    19 hours ago

    New York, United States MetroPlusHealth Full time

    Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest...

  • Call Center Representative II

    3 days ago

    New York, United States MetroPlusHealth Full time

    Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the...

  • Call Center Representative

    1 month ago

    New York, United States Stratford Solutions Inc. Full time

    Job Title: Call Center RepresentativeJob Types: 12 Month ContractLocation: New York NYPay: $20.00 per hourAvailable Shift 3:00 PM to 11:00 PM Saturday and Sunday are MANDATORYJob Description: Non-emergency services, respond to phone inquiries from the public; provide customer service and information to callers; attending to large volume of calls; take...

  • Call Center Representative

    1 month ago

    New York, United States Stratford Solutions Inc. Full time

    Job DescriptionJob DescriptionJob Title: Call Center RepresentativeJob Types: 12 Month ContractLocation: New York NYPay: $20.00 per hourAvailable Shift 3:00 PM to 11:00 PM Saturday and Sunday are MANDATORYJob Description: Non-emergency services, respond to phone inquiries from the public; provide customer service and information to callers; attending to...

  • Call Center Representative

    1 day ago

    New York, United States Pride Health Full time

    We're looking for Call Center Representative for our client with a leading hospital in New York, NY. (Hybrid role) Please find below details of the position.Position: Call Center RepresentativeLocation: New York, NY. (Hybrid role) Duration: 9 weeks contract with extension possibilities.Shift: 9AM-5PM HybridPay - $30/hrJob Duties:The Customer Services...

  • Call Center Representative

    2 days ago

    New York, United States Pride Health Full time

    We're looking for Call Center Representative for our client with a leading hospital in New York, NY. (Hybrid role) Please find below details of the position.Position: Call Center RepresentativeLocation: New York, NY. (Hybrid role) Duration: 9 weeks contract with extension possibilities.Shift: 9AM-5PM HybridPay - $30/hrJob Duties:The Customer Services...

  • Call Center Representative

    4 weeks ago

    New York, United States Capleo Global Full time

    Job Title: Call Center Representative Job Location: New York, NY - 10004 Duration: 3 months (possible extension) Shift: 8:00 AM-4:30 PM Mode: On-siteDuties: Schedule appointments, reminder calls to patients. Book and reschedule clinic appointments. Answer customer inquiries regarding their clinic appointments. Must answer phones, utilize in house and pagers,...

  • Call Center Representative

    10 hours ago

    New York, United States Apex Systems Full time

    Remote Call Center Representative Apex Systems is hiring multiple candidates for a Call Center Representative opportunity with a Fortune 500 healthcare company in Oregon and SW Washington. This is an excellent opportunity for anyone looking to get their foot in the door with a well-known healthcare company with opportunity for growth. Location: Remote in...

  • Bilingual Call Center Representative

    6 days ago

    New York, United States TEEMA Full time

    Do you speak another language? Spanish, Creole (Haitian), Chinese, Russian, Urdu, Korean, or Bengali? Job Title: Bilingual Call Center Representative Location: Lower Manhattan, New York Pay: $17.50 per hour Position Type: Contract - 6 months (with potential for permanent placement) Shift: Day Shift, 40 hours per week Organization: We are a health and human...

  • Call Center Representatives

    1 month ago

    New York, United States The Bachrach Group Full time

    Job DescriptionJob DescriptionWe are currently recruiting for Call Center Representatives for our client in NYC.  Person will be responsible for providing customer service to members, retirees, and beneficiaries.  The ideal candidate should be highly motivated and will go the ‘extra mile’ to provide high-quality service.Responsibilities:• ...

  • Call Center Representatives

    4 weeks ago

    New York, United States Infojini Full time

    Job DescriptionJob DescriptionJob Title - Call Center RepresentativesWork Location - Long Island City, New YorkDuration - 6 Months (Possible extension)Pay rate - $18/hr on W2Job Description:-Education:Minimum: HS Diploma or GED from an accredited institution. All Foreign education at any level must be certified by the US Department of Education.Work...

  • Payroll / Call Center Representative

    2 weeks ago

    New York, United States ATRIA Consulting Full time

    We a re looking for a self-motivated individual to join the customer service team as a Call Center Representative who will provide customer service through several channels of communication across the enterprise. The successful candidate will be able to exhibit collaboration, enhance team culture an...

  • Bilingual Call Center Representative

    1 month ago

    New York, United States Capital Staffing Solutions, Inc. Full time

    Job Title: Bilingual Call Center Representative - PayrollContract Start: 8/26/2024Schedule: M-F 8am-4:30pmLocation: New York, NYJob Overview:We are seeking a dedicated and bilingual Call Center Representative specializing in payroll to join our team. This role involves scheduling and rescheduling clinic appointments, answering customer inquiries, and...

  • Payroll / Call Center Representative

    3 weeks ago

    New York, United States ATRIA Consulting Full time

    We a re looking for a self-motivated individual to join the customer service team as a Call Center Representative who will provide customer service through several channels of communication across the enterprise. The successful candidate will be able to exhibit collaboration, enhance team culture and demonstrate strong problem-solving skills. General tasks...

  • Call Center Representative

    1 month ago

    New Haven, United States Yale New Haven Health Full time

    1. Handles a high volume of incoming calls in a call center environment regarding patient and third party information to ensure that accounts reflect accurate information and third party coverage. Determines the appropriate corrective action and take Call Center, Customer Service, Representative, Customer Experience, Retail, Healthcare

  • Call Center Representative-Family Call Center

    4 weeks ago

    New Hyde Park, United States Parker Jewish Institute for Health Care and Rehabilitation Full time

    Job DescriptionJob DescriptionCall Center Representative-Family Call CenterThe Parker Jewish Institute, located in New Hyde Park, NY, is seeking dedicated Call Center Representatives to join our team of professionals on a part time/per diem basis in our Family Call Center. Parker's Family Call Center is an important communications link for family members...

  • Call Center Representative

    4 days ago

    New Orleans, United States Mktg House Ltd Full time

    Job DescriptionJob DescriptionWe are looking for motivated individuals to join our dynamic team as Call Center Representatives. As a Call Center Representative, you will be the first point of contact for our customers. Your primary responsibilities will include handling inbound and outbound calls, assisting customers with inquiries, troubleshooting issues,...

  • Proxy Call Center Representative

    4 weeks ago

    York, United States Equiniti Full time

    Proxy Call Center Representative Location: Remote (US - New York, Maryland, Massachusetts, Alabama, South Carolina) Time Type: Full Time Posted On: 11 Days Ago Job Requisition ID: R13471 Compensation: $18.00 per hour Shift: M-F 4pm-11pm EST (alternating Saturdays 10am-6pm) Role Summary: A Proxy Call Center Representative will work remotely, is an extremely...

  • Call Center Representative

    2 months ago

    York, United States Luxury Bath Technologies Full time

    Job DescriptionJob DescriptionAppleby Systems is one of the fastest growing brands in the acrylic bath remodeling industry. In 2016, we celebrated our 25th anniversary in business and we are looking for quality people to join our winning team. Our goal is simple, to beautify bathrooms across North America by manufacturing and installing attractive, durable...