Description: Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process written customer correspondence and provide the appropriate level of timely follow up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care: Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
Education/Experience: High school diploma or equivalent. 1+ years of call center customer service experience, or 2+ years of customer service experience, preferably in a healthcare or insurance environment
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Job ID: 2122BR
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SYKES is a leader in the customer contact industry for one reason: Our people. We have a passion for quality, a knack for teamwork and the vision for leading the transformation of customer care in the digital, call center and self-service space. High performing professionals help lead our 50,000, globally-based colleagues from our locations in Tampa and Denver. Our culture is based on collaboration, innovation and problem solving. We offer careers in operations, workforce management, IT, finance, human resources, sales and marketing. We provide competitive compensation, health and retirement benefits, as well as career development and advancement opportunities for professionals seeking to make a difference.