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  • De Pere, WI 54115

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Customer Service Rep - Part-time

MultiPlan • De Pere, WI

Posted 15 days ago

Job Snapshot

Part-Time
Healthcare - Health Services, Insurance
Customer Service
0

Applicant

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Job Description

An excellent part-time opportunity to join a growing company.  Shifts are around 28 hours per week, Monday through Friday from 9:30 am to 4:00 pm CT (10:30 am to 5:00 pm ET) and remain the same each week.  We offer holiday pay, paid time off, 401k benefits and opportunity for advancement.
JOB SUMMARY: To provide quality customer service while effectively accepting and responding to customer and member inquiries regarding network providers, provider nominations and network education. Document all cases according to established policies and procedures. To meet or exceed customer expectations regarding quality and service levels expectations.

JOB ROLES AND RESPONSIBILITIES:

1. Promotes and maintains a flexible, cooperative, team oriented and customer focused attitude within and between departments, customers and vendors while consistently meeting or exceeding standards for quality, customer service, productivity and service level per department guidelines.

2. Navigate all systems while consistently maintaining the call handling time established for the department. Ability to use and interpret multiple systems.

3. Focus on the customer by actively listening, utilizing proper phone etiquette and demonstrating empathy to ensure properly identifying client, network and refer customer to appropriate network provider.

4. Documents all cases according to the department's policies and procedures.

5. Communicate accurate provider information either via phone or e-mail.

6. Confirm the appropriate Provider demographic information in the systems and documents data integrity, access/availability cases within the tracking system per department guidelines.

7. Work with internal/external personnel providing information requested and solving problems that arise.

8. Redirect callers inquiring on benefits and eligibility and calls requiring additional assistance to appropriate department/staff.

9. Collaborate, coordinate, and communicate across disciplines and departments.

10. Ensure compliance with HIPAA regulations and requirements.

11. Demonstrate Company's Core Competencies and values held within.

12. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.

JOB SCOPE:

This job works under close supervision to complete job responsibilities. Work is prescribed and completed with very little autonomy with little discretion to vary from established policies and procedures. The incumbent relies on previous experience and judgment to support department management in completing daily activities. This job does not directly supervise other personnel.

Job Requirements

JOB REQUIREMENTS (Education, Experience, and Training):

* Minimum GED or HS Diploma

* Minimum 1 year of Customer Service experience

* Experience in a call center environment desired

* Knowledge of proper phone etiquette

* Communication (written, verbal, listening), organization, telephone and data entry skills

* Ability to work a flexible part-time schedule

* Ability to identify problem issues and determine the appropriate course of action/redirection within department guidelines required to resolve issues

* Ability to be personable, resolve issues of conflict in a tactful and professional manner and to effectively diffuse irate callers

* Ability to work independently and as part of a team

* Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, database software, etc.

* Required licensures, professional certifications, and/or Board certifications as applicable

* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

* Ability to work part-time with hours between 20-29 hours per week between the hours of 9:30 am to 4:30 pm CST/ 10:30 am to 5:30 pm EST.


As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.
Job ID: 6457
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