Customer Service Representative

24 hours ago


Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time
About the Role

AmeriHealth Caritas is seeking a highly skilled and customer-focused Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional service to our members and their providers, ensuring timely and professional resolution of inquiries and issues.

Key Responsibilities
  • Respond to inbound and outbound calls, emails, and correspondence from members and providers in a timely and professional manner.
  • Provide accurate and timely member documentation concerning all inquiries taken in accordance with established protocols.
  • Present a positive image of the company by being courteous, helpful, energetic, respectful, and polite.
  • Strive to resolve an inquiry on first contact while ensuring that the inquiry has been addressed to the customer's satisfaction.
  • Provide feedback and/or solutions to the supervisor to ensure continuous process improvement and provide a better customer experience.
  • Maintain an awareness of all product knowledge information.
  • Able to respond positively to support change within the department and the company.
  • Willing to be flexible regarding job responsibilities and schedule, not limited to but including, overtime and holidays, as a result of contractual business requirements.
  • Routinely meet or exceed contact center key performance indicators.
Requirements
  • High School diploma or GED required.
  • 1 year prior customer service experience required.
  • Call center experience taking in-bound and/or out-bound calls preferred.
  • Prior experience in the healthcare or managed care industry preferred.
  • Excellent judgment and decision-making skills in dealing with complaints and sensitive requests required.
  • Ability to use PC applications in an MS Windows based required.
About AmeriHealth Caritas

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management, and specialty pharmacy services, behavioral health services, and other administrative services. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect.



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