Full time Healthcare Customer Service Representative / Healthcare Call Center openings in the Wilkes-Barre, PA area with a major healthcare company! Starting ASAP!! Apply now with Luke H. at A-Line!
Healthcare Call Center / Customer Service Representative Summary:
This position involves extensive member contact via the telephone.
Handles inbound/outbound calls from participants and/or prescribers when needed to start and process order requests.
Ability to research and investigate orders using Peoplesafe and LINKS.
Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience.
Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry.
Responsible for researching and resolving payment issues.
Call to offer a direct sale of medications to participants and posting payments to the proper account.
Perform required transactions to complete mail order prescriptions.
Follow through on standard operating procedures, problem-solving and troubleshooting within guidelines.
Ability to work under strict turn-around-times.
Work Shift:
Full Time – 40 Hours per week and 8 hours per day
Training for first 4 weeks: Monday – Friday 8:00am – 4:30pm
Monday – Friday 9:00am – 5:30pm , Saturday rotation once per month
Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
The primary responsibilities are to verify insurance coverage for potential new clients.
This person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.
This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
Strong attention to detail, and proven analytic and problem solving.
Required Experience:
PC skills in Windows-based applications. Advanced verbal/written communication skills.
Team-oriented, customer service focused and able to identify process improvements.
The position may require working an occasional Saturday and or Sunday shift
Responsive, reliable and able to express assurance/confidence?
Ability to express empathy and professionalism.
There may be the possibility of working from home depending on several factors including site location, employee performance, department need, as well as other criteria.
Education: High School Diploma or GED
Preferred Experience:
Ability to understand the audience you are writing to analytical problem-solving skills.
Demonstrate strong research skills with the ability to evaluate, focus on the problem and find the resolution.
Understand the importance of timely work and effective planning.
Prioritizing and organizing workload in adherence to deadlines.
Desire and aptitude to assist a customer with escalated concerns and provide final resolutions.
Ability to respond to escalated concerns in a calm and professional manner in attempts to prevent further escalations.
Ability to multi-task with strong time management skills.
Navigation of LINKS and Peoplesafe
Why Apply:
Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
401k after 1 year of employment: With employer match and profit sharing
GREAT Hours! Monday through Saturday, 40 hours per week
Competitive Pay Rate

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