Customer Care Representative I

2 weeks ago

Atlanta, United States Elevance Health Full time

Customer Care Representative I, Call Center Location:

This position will work remote and the ideal candidate will live within 50 miles of our Elevance Health location in St. Louis, MO; Atlanta, GA or Richmond, VA Hours:

Monday - Friday (off Saturday and Sunday) Must be available to work the 8.5 hour shift for the listed hours in your specified time zone below: 9:00 am- 5:30 pm Eastern Time 8:00 am - 4:30 pm Central Time Includes $500 Sign On Bonus Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. As a part of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Customer Care Representative I is responsible for acting as a trusted advisor and educator on inquiries such as coverage for medications and prior authorizations. How you will make an impact: Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.

Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Researches and analyzes data to address operational challenges and customer service issues.

Provides external and internal customers with requested information.

Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.

Uses computerized systems for tracking, information gathering and troubleshooting.

Outbound calls are conducted in the ZipDrug business area.

Minimum Requirements: Requires a High School Diploma or equivalent and previous experience or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience: A passion for serving others with the ability to be empathetic and the desire to go above and beyond to help resolve members’ questions at the first point of contact.

A member advocate willing to listen and find creative solutions to address and resolve members’ questions, issues, or concerns.

A composed individual able to multi-task, navigate multiple computer applications and work efficiently while communicating and serving the customer.

Must have a strong work ethic and sense of responsibility to your teammates and our members, demonstrated by the simplest things like being on time and available to meet members’ needs, being accountable for commitments made to members or others, and ensuring follow-ups are completed.

Flexible and quick learner, willing to adapt to changing member and business needs.

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