Customer Service Representative
1 week ago
We are seeking a highly skilled and bilingual Customer Care Associate to join our team at Niahealthcare. As a Customer Care Associate, you will be responsible for providing exceptional service to our members and providers, ensuring that their needs are met and exceeded.
Key Responsibilities- Answer incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers.
- Administer intake documentation into the appropriate systems.
- Provide information regarding Magellan's in-network and out-of-network reimbursement rates and states multiple networks to providers.
- Refers callers requesting provider information to Provider Services regarding Magellan's professional provider selection criteria and application process.
- Responsible for updating self on ever-changing information to ensure accuracy when dealing with members and providers.
- Must be bilingual.
- Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
- Responsible for meeting call handling requirements and daily telephone standards as set forth by management.
- Must agree to observing service for the purpose of training and quality control.
- Proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
Niahealthcare is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
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