Remote Customer Service Representative

2 weeks ago


Dallas, United States PSG Global Solutions Careers Full time

Apply now and our proprietary system will quickly have you in front of a live recruiter.
The Opportunity
Description
We're looking for a Remote Customer Service Representative, working in Insurance industry in Dallas, Texas, United States.

  • Collect structured clinical data for prior authorization and non-formulary exception requests following the guidance provided in our online prior authorization tools and/or corresponding forms.
  • Screen requests based on guidance given by online prior authorization tools.
  • Approve prior authorization requests if the data collected meets the approval specifications.
  • Refer prior authorization requests that do not meet the approval specifications to a pharmacist for clinical review.
  • Respond to contacts independently ranging from routine to moderate complexity. May seek assistance with health care professional service issues of substantial complexity.
  • Perform research to respond to inquiries and interprets policy provisions to determine most effective response using established departmental procedures, HIPAA regulations, and corporate policies.

Our Client

Our client provides outsourcing, staffing, consulting and workforce solutions. Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. For 60 years. Via 5,000 offices in 39 countries.

Matching smart people with great jobs. Putting to work nearly 700,000 employees worldwide.

Helping people like you achieve your potential. Using innovative technologies and passion for people to provide you the best experience possible. Every single day.

Let this be your day. Put their expertise to work for you. You deserve it

Experience Required for Your Success
  • High School Diploma or GED required.
  • 1-5 years of Call center experience is preferred, call center experience is required.
  • Excellent interpersonal communication, attention to detail, critical thinking skills are essential.
  • Must have competent computer skills, be familiar with Microsoft office and have a working knowledge of Windows operating system.
  • Flexibility to support extended hours and overtime as determined by business needs in order to meet customer expectations.
  • Able to maintain 100% attendance throughout 4 weeks of training and excellent attendance beyond training.

What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?

  • Dallas, United States UnitedHealth Group Full time

    Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EO - Bs) Ask appropriate questions and li Customer Service Representative, Customer Service, Representative, Healthcare, Remote, Retail, Benefits


  • Dallas, United States PeopleShare Full time

    PeopleShare is looking for Customer Service Representatives in the state of Texas! FULLY REMOTE! BEFORE YOU APPLY: If you're committed to obtaining a state license AT NO COST TO YOU, this is the job for you! (this allows you to be eligible for commission) Job Details for a Customer Service Representative:• Schedule: Monday-Sunday 8:00am-11:00pm CST...


  • Dallas, United States UnitedHealth Group Full time

    Serve as a resource or Subject Matter Expert for team members or internal customers Handle escalated calls, resolving more complex customer issues Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the in Customer Service Representative, Customer Service, Representative, Remote, Senior, Health, Retail, Healthcare


  • Dallas, United States Hashimi Corp Full time

    Job DescriptionJob DescriptionJob Summary: We are seeking a motivated and customer-focused individual to join our team as a Remote Customer Service and Inside Sales Representative. In this role, you will be responsible for providing excellent customer service, managing sales inquiries, and driving sales growth through effective communication and...


  • Dallas, United States Hughes Law Group Full time

    Job DescriptionJob DescriptionSalary: $20-$30.19This position interacts with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. Excellent communication abilities and data entry skills are essential for candidates.Duties and Responsibilities:Maintaining solid customer relationships by...


  • Dallas, United States SERVEWAY HEATING AND AIR CONDITIONING LLC Full time

    Company DescriptionSERVEWAY HEATING AND AIR CONDITIONING is based in Dallas, Texas. We specialize in heating and air conditioning solutions for residential and commercial customers. Our team is dedicated to providing excellent service and ensuring customer satisfaction.Role DescriptionThis is a full-time hybrid role as a Customer Service Representative. The...


  • Dallas, United States PeopleShare Full time

    PeopleShare is looking for Customer Service Representatives in the state of Texas! FULLY REMOTE! BEFORE YOU APPLY: If you're committed to obtaining a state license AT NO COST TO YOU, this is the job for you! (this allows you to be eligible for commission) Job Details for a Customer Service Representative:• Schedule: Monday-Sunday 8:00am-11:00pm EST...


  • Dallas, United States Manna Pro Full time

    >> Customer Service Representative Customer Service Representative Summary Title:Customer Service Representative ID:1318Location:Dallas, TXDepartment:Customer Service Description **Title:** Customer Service Representative **Manna Pro Products, LLC is a manufacturer and marketer of animal nutrition and care products. We are committed to bringing innovation,...


  • Dallas, United States RemX Full time

    Job DescriptionJob DescriptionRemX Staffing is assisting a Client in Hiring a Remote Customer Service Representative.Start date-6/10/24Location-RemotePay Rate-$15/hourContract with potential to go permHours- M-F 8am-7m CST- 8 hour shift between that timeframeESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.Exception...


  • Dallas, United States Chewy Full time

    Our Opportunity Do you have an infectious personality and a desire to engage in meaningful conversations while helping others? If you answered yes, this might be the purr-fect role for you! Chewy is revolutionizing the pet industry as one of the fastest-growing e-commerce retailers of all time. We are seeking a full-time, motivated Customer Service...


  • Dallas, United States Modernoworks Full time

    **Customer Service Representative** Dallas, TX ***NOT A REMOTE POSITION*** Moderno is a new kind of company, with a new kind of work culture. We are a fast-growing porcelain surfacing company made up of industry experts who are passionate about combining the finest, large format porcelain with the greatest in-house craftsmen to deliver high-quality surfaces...


  • Dallas, Texas, United States APPS Full time

    Remote Positions AvailableJob purpose: the Interviewer is responsible for supporting the Telemed team by insuring all incoming work is assigned and completed within the same day. Daily duties may include but are not limited to answering incoming telephones for Telemed Interviews, all of the field offices, agents, brokers, applicants and clients, handling...


  • Dallas, United States Mr. Appliance of Highland Park Full time

    We at Mr. Appliance® are looking for qualified professionals to join our team. As an international appliance repair franchise network with over 250 locations, we frequently have job openings for technicians, managers, and support personnel throughout North America. Our franchisees offer competitive compensation packages, complete training programs, and fast...


  • Dallas, United States TEKsystems Part time

    TEKsystems is currently hiring for remote customer service representatives. This role must be located within 60 miles of Dallas, TX. Please apply if you are interested.Description:Job DescriptionTo respond to inquiries and requests from members and other individuals within a 24/7 high volume, schedule-driven and structured contact center operationProvide...


  • Dallas, Texas, United States TEKsystems Full time

    TEKsystems is currently hiring for remote customer service representatives. This role must be located within 60 miles of Dallas, TX. Please apply if you are interested.Description:Job DescriptionTo respond to inquiries and requests from members and other individuals within a 24/7 high volume, schedule-driven and structured contact center operationProvide...


  • Dallas, United States PeopleShare Full time

    PeopleShare is looking for Customer Service Representatives in the state of Texas! FULLY REMOTE!   BEFORE YOU APPLY: If you're committed to obtaining a state license AT NO COST TO YOU, this is the job for you! (this allows you to be eligible for commission)   Job Details for a Customer Service Representative: • Schedule: Monday-Sunday...


  • Dallas, United States Zion Capital Full time

    Job DescriptionJob DescriptionThe customer comes first within the hospitality industry and that is no exception at Zion Capital. Our Customer Service Representatives help the local neighborhoods by offering products and services from our various clientele to increase their brand awareness and community outreach. As a Customer Service Representative, you will...


  • Dallas, United States Zion Capital Full time

    The customer comes first within the hospitality industry and that is no exception at Zion Capital. Our Customer Service Representatives help the local neighborhoods by offering products and services from our various clientele to increase their brand awareness and community outreach. As a Customer Service Representative, you will be a part of creating and...


  • Dallas, United States Zion Capital Full time

    Job DescriptionJob DescriptionThe customer comes first within the hospitality industry and that is no exception at Zion Capital. Our Customer Service Representatives help the local neighborhoods by offering products and services from our various clientele to increase their brand awareness and community outreach. As a Customer Service Representative, you will...


  • Dallas, United States Zion Capital Full time

    Job DescriptionJob DescriptionThe customer comes first within the hospitality industry and that is no exception at Zion Capital. Our Customer Service Representatives help the local neighborhoods by offering products and services from our various clientele to increase their brand awareness and community outreach. As a Customer Service Representative, you will...