Customer Service Specialist II
2 months ago
About NYC Health + Hospitals
NYC Health + Hospitals is dedicated to delivering exceptional healthcare services to the diverse communities of New York City. Our extensive network encompasses a wide range of health plans, including Medicaid Managed Care, Medicare, and more, ensuring that our members receive the care they need to lead healthy lives.
Position Overview
The Customer Service Specialist II plays a crucial role in providing high-quality assistance to our clients. The responsibilities include documenting customer interactions, addressing complaints, facilitating outreach initiatives, assisting with primary care provider (PCP) selection, conducting orientations for new members, and handling inquiries related to claims and provider management. In this Level II position, the representative will also support management and address more complex issues within the call center.
Key Responsibilities
- Assist management with special projects, including monthly PCP assignments and error reports.
- Document and respond to all customer interactions, ensuring proper follow-up and resolution.
- Conduct both in-person and telephone orientations for new and existing members.
- Aim for first-contact resolution by addressing member and provider concerns effectively.
- Utilize technology and resources to provide accurate answers to customer inquiries.
- Research and respond to questions regarding eligibility, benefits, claims, and authorizations.
- Clearly classify and document all customer encounters.
- Identify and escalate complex issues while ensuring follow-up and resolution.
- Gather and document customer complaints, capturing all relevant details.
- Assist members in selecting PCPs and locating providers within the network.
- Verify and update member demographic information as needed.
- Process requests for member materials, including ID cards and provider directories.
- Handle inquiries related to enrollment and generate leads for sales.
- Manage disenrollment requests and implement retention strategies.
- Conduct outreach for New Member Orientation and other related projects.
- Process premium payments efficiently.
- Perform additional duties and special projects as assigned by the Director of Customer Services.
- Availability to work between 8:00 AM and 8:00 PM, Monday to Friday, and 9:00 AM to 5:00 PM on Saturdays.
- Participate in a paid training program from 9:00 AM to 5:00 PM, Monday to Friday.
- High School diploma or equivalent.
- A minimum of 3 years of experience in a high-volume call center environment.
- Demonstrated ability to provide excellent customer service in healthcare settings.
- Ability to maintain composure in challenging situations with upset customers.
- Integrity and Trust
- Customer Focus
- Technical Skills
- Effective Communication
- Ability to thrive in a fast-paced environment with attention to detail.
-
Customer Service Specialist II
2 months ago
New York, New York, United States NYC Health Hospitals Full timeAbout NYC Health + HospitalsNYC Health + Hospitals is dedicated to delivering exceptional healthcare services to the diverse communities of New York City. Our organization encompasses a wide range of healthcare programs, including Medicaid Managed Care, Medicare, and various other health initiatives aimed at improving the well-being of our residents.Position...
-
Customer Service Representative II
2 weeks ago
New York, New York, United States Apex Systems Full time{"Job Title": "Customer Service Specialist II", "Job Description": "At Apex Systems, we are seeking a highly skilled Customer Service Specialist II to join our team. As a key member of our customer support team, you will be responsible for providing exceptional service to our clients via telephone and/or internet.Your primary responsibilities will...
-
Customer Service Representative
1 month ago
New York, New York, United States Customer Service Open House Full timeJob SummaryWe are seeking a highly skilled and customer-focused individual to join our team as a Counter Service Representative. As a key member of our service team, you will be responsible for delivering exceptional customer service and ensuring a positive experience for our guests.Key ResponsibilitiesTake food orders and serve food over the counter in a...
-
Customer Service Representative
3 weeks ago
New York, New York, United States Metropolitan Transportation Authority Full timeJob Title: Transit Customer Service Specialist I & IIJoin the Metropolitan Transportation Authority as a Transit Customer Service Specialist I & II, providing exceptional customer service to the public through various communication channels.Job Summary:This role involves responding to customer inquiries, resolving issues, and providing information about MTA...
-
Customer Service Representative
1 month ago
New York, New York, United States Metropolitan Transportation Authority Full timeJob Title: Transit Customer Service Specialist I-IIMetropolitan Transportation Authority is seeking a highly motivated and detail-oriented individual to join our team as a Transit Customer Service Specialist I-II. This role will be responsible for providing exceptional customer service to facilities clients and vendors, prioritizing service requests, and...
-
Strategic Business Development Specialist
5 days ago
New York, New York, United States Gen II Fund Services Full timeThe Strategic Business Development Specialist will play a pivotal role in supporting the planning, management, and execution of various business-critical projects in collaboration with Gen II's leadership team. This individual will work closely with the Gen II Business Management team to develop a compelling narrative around Gen II's most exciting strategic...
-
Customer Service Representative
3 weeks ago
New York, New York, United States Metropolitan Transportation Authority Full timeJob Title: Transit Customer Service Specialist I-IIMetropolitan Transportation Authority is seeking a highly motivated and detail-oriented individual to join our team as a Transit Customer Service Specialist I-II. This role will be responsible for providing exceptional customer service to facilities clients and vendors, prioritizing service requests, and...
-
Customer Service Representative
1 month ago
New York, New York, United States MTA, Inc. Full timeJob Title: Transit Customer Service Specialist I-IIWe are seeking a highly motivated and detail-oriented individual to join our team as a Transit Customer Service Specialist I-II. This role will provide excellent customer service to all facilities clients and vendors within Facilities Management.Key Responsibilities:Provide exceptional customer service to...
-
General Services Specialist II
4 weeks ago
New York, New York, United States Truist Full timeJob SummaryWe are seeking a highly skilled General Services Specialist II to join our team at Truist. This role is responsible for performing specialized maintenance work, delivering mail and packages, and providing exceptional customer service.Key ResponsibilitiesPerform semi-skilled maintenance work, including initial assessments and determining action...
-
Customer Service Associate II
2 weeks ago
New York, New York, United States Marshalls Full timeJob Title: Customer Service Associate IIAt Marshalls, we're reinventing retail and helping people discover that next find that's going to be their new signature look. As a Customer Service Associate II, you'll play a key role in providing a positive customer shopping experience in our store.Key Responsibilities:Maintain a proper and professional stance in...
-
Maintenance Specialist
4 weeks ago
New York, New York, United States Eden II Programs Full timeJob SummaryWe are seeking a highly skilled and experienced Maintenance Specialist to join our team at Eden II Programs. The successful candidate will be responsible for providing on-site maintenance and repair services for our facilities, ensuring a safe and efficient working environment for our staff and participants.The ideal candidate will have a strong...
-
Self-Pay Collections Specialist II
1 month ago
New York, New York, United States 61st Street Service Corp Full timeJob SummaryThe Self-Pay Collections Specialist II is a key member of our Revenue Cycle team, responsible for securing payment from patients and guarantors. This role requires excellent communication and customer service skills, as well as the ability to navigate complex billing systems.Key ResponsibilitiesCollect full payment from patients or guarantorsApply...
-
Customer Service Manager II
7 days ago
New York, New York, United States ESFM Full timeJob Title: Customer Service Manager IIJob Summary:As a Customer Service Manager II at ESFM, you will be responsible for site visits and client retention. You will assist branches with grand openings and ensure compliance with local and national account standards. You will also develop an account level incremental sales plan with local management and track...
-
Customer Service Representative II
2 months ago
New York, New York, United States NYC Health Hospitals Full timeJob SummaryWe are seeking a highly skilled and experienced Customer Service Representative II to join our team at NYC Health + Hospitals. As a key member of our customer service team, you will be responsible for providing exceptional service to our customers, resolving their inquiries and issues in a timely and professional manner.Key...
-
IT Support Specialist II
6 days ago
New York, New York, United States Weill Cornell Medical College Full timeJob Title: IT Support Specialist IIJob Summary:We are seeking a highly skilled IT Support Specialist II to join our team at Weill Cornell Medicine. As a key member of our Service Desk, you will provide top-notch technical support to our staff, ensuring that they have the tools and resources they need to succeed.Responsibilities:* Provide technical support...
-
Customer Service Representative II
3 weeks ago
New York, New York, United States Demo - Maximus Full timeAbout the PositionWe are seeking a highly motivated and detail-oriented Customer Service Representative II to join our team in Cattaraugus and Allegany Counties. As a key member of our outreach team, you will be responsible for conducting face-to-face and virtual outreach and enrollment services to New York Medicaid recipients.Key Responsibilities:Conduct...
-
Customer Service Representative
2 months ago
New York, New York, United States Caesars Entertainment Full timeJob SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Caesars Entertainment. As a Customer Service Representative - Casino Services II, you will be responsible for providing exceptional service to our guests, ensuring a positive and memorable experience at our casino.Key ResponsibilitiesProvide...
-
Logistics Specialist II
4 weeks ago
New York, New York, United States American Roofing Supply Inc Full timeJob SummaryWe are seeking a skilled Logistics Specialist II to join our team at American Roofing Supply Inc. As a key member of our logistics team, you will be responsible for delivering building materials to customers within a 200-mile radius of our branch.Key ResponsibilitiesOperate a commercial vehicle in compliance with all DOT regulationsDeliver...
-
Customer Service Associate II
6 days ago
New York, New York, United States HomeGoods Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Customer Service Associate II to join our team at HomeGoods. As a key member of our store team, you will play a vital role in maintaining a positive customer shopping experience and supporting the District Loss Prevention Manager and Store Management.Key Responsibilities:Maintain a professional...
-
Customer Service Representative
2 weeks ago
New York, New York, United States NYC Health Hospitals Full timeJob Title: Call Center Representative IIMetroPlusHealth is a leading healthcare provider in New York City, serving residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island. As a wholly-owned subsidiary of NYC Health + Hospitals, we offer a comprehensive range of healthcare services, including Medicaid Managed Care, Medicare, and Child Health Plus....