Customer Service Representative

2 days ago

Melville, New York, United States Brighton Health Plan Solutions Full time
About The Role

MagnaCare is seeking highly skilled Customer Service Representatives to provide exceptional support to members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations, and appeals.

This role is designed to deliver a high level of customer satisfaction while ensuring compliance with regulatory requirements and company policies.

Primary Responsibilities
  • Listen attentively to customer needs and concerns, demonstrating empathy and offering solutions.
  • Confirm customer understanding of the solution and provide additional customer education as needed.
  • Prepare complete and accurate work and update customer files.
  • Contribute ideas on ways to resolve problems to better serve the customer and/or improve productivity.
  • Offer solutions to issues that are often non-standard/non-routine and require some clarification.
  • Perform other call center functions and support projects as directed by management.
  • Balance the demands of the caller with requirements for quality, average handle time, and productivity.
  • Use appropriate verbiage and level of detail to formulate and adapt the response to the level of understanding the caller has about the MagnaCare processes and specific plan details.
  • Proactively educate the caller and validate understanding before completing the call.
  • Effectively transfer misdirected customer requests to an appropriate party.
Essential Qualifications
  • High School diploma, some college education a plus.
  • Knowledge of basic computer skills.
  • Intermediate knowledge of Microsoft Office and email writing.
  • Knowledge of CPT codes, ICD-9. Ability to learn quickly.
  • Courteous with strong customer service orientation.
  • Dependable with proficient attention to detail.
  • Good listening and responding skills.
  • Must be flexible with the ability to adapt to changes quickly and think conceptually.
  • Solid problem-solving skills.
  • Excellent attendance, punctuality, and work record required.
About

At MagnaCare, our goal is simple: uncomplicate the administration of healthcare benefits. For more than 30 years, we've done just that, serving everyone from Labor and Taft-Hartley Fund health plans to self-funded employers.

Through innovative technology and a solutions mindset, we're able to stay nimble and flexible in ways big insurers simply can't.

And it's how we can help control costs and elevate health outcomes for members, too. MagnaCare is a division of Brighton Health Plan Solutions, LLC.

We are an Equal Opportunity Employer.

Annual Salary: $42,705

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.

Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated in the Careers section.

Any fraudulent activity should be reported to:

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