Icon hamburger
Customer Service in Brookville,Indiana
Apply to this job.
Think you're the perfect candidate?
Apply Now

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Call Center Representative

Alluvion Staffing Forest Park Full-Time
Apply Now
Alluvion, is hiring for Call Center Representatives for our client in Cincinnati, OH.

Position Summary:

The Call Center Representative provides expert service to providers, members and clients who have claims, eligibility and benefit related questions by promptly responding to their concerns in a timely manner. In addition, this position resolves payment/adjudication questions at the time the call is received; explaining calculation methodology, contract terms procedures, etc. for the designated call center.

Essential Functions:
  • Help providers and members navigate the complex healthcare ecosystem
  • Field member and provider inquiries by phone and email
  • Customer service focus with a keen understanding of the importance of average speed of answer, average handle times, abandonment rates, and first call resolution
  • Answer customer service lines promptly and professionally and maintain at least a 95% response time.
  • Collaborate with teammates to investigate and resolve complex calls
  • Provide feedback to improve the Company
  • Clearly communicates claims status, payment methodology, contract terms, procedures, etc. to providers, members and clients.
  • Informs and assists callers with the claim's appeals process, where appropriate.
  • Demonstrates excellent customer service by determine the reason for the call, acknowledging the callers concerns and resolve concerns and/or explain action to be taken within the expected time line for resolution.
  • Performs research on complex claim inquires and expertly re-examines claims in order to drive first call resolution
  • Presents a pleasant voice to all callers, regardless of the stressful nature of the situation.
  • All other duties as assigned.

Minimum Qualifications:
  • Call Center experience necessary; healthcare call center experience with claims experince preferred
  • Demonstrated knowledge of health claims, coding and processing guidelines.
  • Maintain a knowledge of plan designs, PPO, indemnity plans, and all other contracts and services provided by company.
  • Medical terminology and insurance related experience a plus.
  • Strong interpersonal skills to interact with customers, management and peers.
  • Very organized and detail-oriented.
  • High level of self-motivation, productivity and attention to detail; be well-organized; have excellent verbal and written communication skills
  • Excellent analytical, problem-solving, multi-tasking, verbal and written communication skills
  • Flexibility to work evening hours based upon business need
  • Excellent attendance required

Skills required

Customer Service
Assist Individual
Telephone Skills
Update Customer Information
Take Customer Order
Utilize Questioning Skill


Salary Estimator

Based on Job Title, Location and Skills
Below Avg. Average Above Avg.

Career Path

See the next step in your career
Call Center Representative
Estimated Salary: $64K
Apply to this job.
Think you're the perfect candidate?
Apply Now

Job ID: 19-00924


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.