Customer Service Representative

5 days ago


Yonkers, New York, United States Guidehealth Full time
Job Description

At Guidehealth, we are seeking a highly skilled and bilingual Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients and members, ensuring that their needs are met in a timely and professional manner.

Key Responsibilities:
  • Answering client and member calls in a timely and professional manner
  • Providing accurate and timely handling of client and member calls
  • Assuring the accurate and timely handling of client and member calls with total follow through
  • Providing excellent customer service
  • Answering client and provider questions, including claims payment, status, and coverage information
  • Interpreting client health plan protocol
  • Backup to the claims processing area by assisting with reports and workflow queues as assigned
  • Maintaining accurate and complete call documentation
  • Maintaining high level of professionalism
  • Returning incoming calls
Requirements:
  • Bilingual (English/Spanish) required
  • Minimum of 2 years experience in a high volume healthcare call center required
  • Knowledge of healthcare claims review or processing required
  • Health Care/Health insurance background required
  • Experience with BCBS HMOI or other insurance plans a plus
  • Use of multiple systems including Teams and Excel, Jira is a plus
  • Excellent verbal and written communication skills
  • Must be available for an 8 hour shift between 8am to 6pm Central time
Preferred Qualifications:
  • HMO Managed care Medicare Advantage experience
Benefits:

At Guidehealth, we are committed to providing our employees with a comprehensive benefits package that includes:

  • Comprehensive Medical, Dental, and Vision plans
  • 401(k) plan with a 3% employer match
  • Life and Disability insurance
  • Voluntary Life options
  • Employee Assistance Program (EAP)
  • Flexible Time Off tailored to meet your needs and the needs of the business
  • Paid parental leave

We are an equal opportunity employer and are committed to diversity, inclusion, and belonging. We welcome applications from candidates of all backgrounds and perspectives.



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