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Customer Service Representative
2 months ago
We are seeking a highly skilled and experienced Customer Service Representative to join our team at Regal Medical Group. As a key member of our Member Services team, you will be responsible for providing exceptional customer service to our members, health plans, and providers.
Key Responsibilities- Respond to incoming calls and emails from members, health plans, and providers to provide information and clarification on medical services and benefits.
- Maintain accurate and up-to-date records of member interactions and resolve issues in a timely and professional manner.
- Utilize standardized processes and tools to resolve routine and complex issues related to medical services and benefits.
- Communicate effectively with members, health plans, and providers to ensure seamless delivery of medical services and benefits.
- Work collaboratively with the Member Services team to achieve departmental goals and objectives.
- Minimum two (2) years of customer service experience in a medical setting.
- Bilingual (fluent in Spanish, Vietnamese, Farsi, Korean, Russian, Tagalog, or Armenian) is preferred.
- High School Diploma or equivalent is required.
- Ability to deal responsibly with matters of a confidential nature.
- Ability to multi-task and meet deadlines in a high-stress environment.
- Excellent communication and interpersonal skills.
- Ability to read, write, and understand the English language.
- Pleasant telephone manner and telephone etiquette.
- Ability to distinguish between CPT, HCPCS, Revenue, and ICD coding.
- Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access, and PowerPoint).
- Knowledge of computers, faxes, printers, and other office equipment.
- Self-starter with ability to take on multiple tasks.
- Ability to review and interpret health plan benefits and provider contracts.
- Able to interface with customers both internal and external of Regal Medical Group.
- Typing 45 WPM with accuracy.
- Ability to communicate effectively orally and written answering and resolving a minimum of 65 calls per day with matching documentation.
- Strong organizational skills with emphasis on prioritizing and attention to details.
- Comprehensive medical, pharmacy, and dental benefits for employees.
- Vision insurance.
- Zero co-payments for employed physician office visits.
- Flexible Spending Account (FSA).
- Employer-paid life insurance.
- Employee Assistance Program (EAP).
- Behavioral Health Services.
- 401(k) Retirement Savings Plan.
- Income Protection Insurance.
- Vacation time.
- Company celebrations.
- Employee Assistance Program.
- Employee Referral Bonus.
- Tuition Reimbursement.
- License Renewal CEU Cost Reimbursement Program.
- Business-casual working environment.
- Sick days.
- Paid holidays.
- Mileage.
