Customer Service Professional

6 days ago


North Haven, Connecticut, United States HireTalent Full time

**Job Summary**

HireTalent is seeking a dedicated Customer Service Representative to support our Medicare Appeal process. As a key member of our team, you will be responsible for answering incoming telephone calls, resolving customer questions, complaints and requests, and utilizing your working knowledge of internal policies and procedures to meet productivity and quality standards.

**Responsibilities:**

  • Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational).
  • Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes.
  • Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times.
  • Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures.
  • Interacts with hospitals, physicians, beneficiaries, or other program recipients Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party.
  • Meets or exceeds standards for call volume and service level per department guidelines.
  • Initiates files by collecting and entering demographic, provider, and procedure information into the system.
  • Serves as liaison between the Review Supervisors and external providers.
  • Maintains logs and documents disposition of incoming and outgoing calls.

**Requirements:

  • High School diploma or equivalent.
  • 2+ year s customer service/telephone experience in a similar call center environment and/or industry.
  • Must have ability to effectively communicate with team members and external customers.
  • Must have ability to research and resolve issues related to Medicaid program and service eligibility.

**Benefits:**

HireTalent offers a competitive salary range of $45,000 - $60,000 annually, depending on experience.



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