Customer Service Coordinator
7 days ago
We are seeking a highly skilled Customer Service Representative to join our team at Recruit Monitor. As a key member of our organization, you will play a vital role in providing exceptional customer service to our clients. This is an excellent opportunity for individuals who enjoy working in a fast-paced call center environment and possess strong communication skills.
Job DescriptionAs a Customer Service Representative, you will be responsible for handling incoming calls from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems. You will apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits. Your primary goal will be to provide accurate and timely responses to inquiries, ensuring a positive experience for our customers.
Responsibilities- Answer telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.
- Apply knowledge of TRICARE regulations, interpretations, and procedural directives to make determinations on eligibility and benefits.
- Obtain and analyze claims data to determine specific problem areas, including external communication to obtain data.
- Complete research and provide final resolution to inquiries within contractual requirements.
- Communicate with inquirers to determine appropriate authorization or referral of services.
- Submit claims for adjudication, correction, payment, or review as appropriate.
- Educate providers on billing requirements of TRICARE to reduce claim problems.
- Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
- Respond to inquirers using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.
- Collect and record data for Customer Service records and computer analysis.
- Inform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.
- Gaining experience working in a call center environment.
- Having the ability to work remotely from home.
- Building in-depth communication and customer service skills.
- Being a part of a fun, supportive team that offers great advancement opportunities throughout the organization.
- Working in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families.
- U.S. citizenship is required for this position due to Department of Defense restrictions.
- High school diploma or equivalent.
- 2 or more years of experience in customer service.
- Ability to learn medical and insurance terminology.
- Microsoft Office Experience.
- Ability to navigate dual monitor screens and between multiple programs at once.
- Strong skillsets in multi-tasking, research, and problem-solving.
$45,000 - $65,000 per year, depending on experience.
About UsWe are Recruit Monitor, a leading provider of recruitment solutions. Our team is dedicated to helping businesses find the best talent for their organizations. We offer a fun, supportive work environment and opportunities for advancement. Join us today and take the first step towards a rewarding career
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