Call Center Representative-Health Plan-Work from home

Presbyterian Healthcare Services

1d • $16 - $24 • Remote

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team. This is a full-time opportunity based at the Reverend Hugh Cooper Administrative Center, with a work shift during the day.

Requirements

• High school diploma plus one to three years office/business experience; call center experience preferred and/or is currently demonstrating customer service skills, meeting current department metric and attendance guidelines within department.
• Claims processing experience in managed care with possible enrollment experience is preferred.
• Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff.
• Written communication skills as well as business writing and presentation skills are required.
• Requires strong organizational skills, ability to create, sort and analyze reports (Excel, Access, etc) and system processes.
• A thorough knowledge of reimbursement methodologies i.e. DRG, Relative Value Systems, Per Diem, Fee schedule, Capitation, etc and some knowledge of risk sharing programs helpful.
• Some knowledge of CRM and Facets, as well as any other databases that may be used PHS Enterprise wide.
• Demonstrated ability to function effectively as a team member.
• Requires ability to retain plan details and basic medical terminology.
• Must be able to work cooperatively with other employees and function under pressure.
• Demonstrated ability to sustain quality standards.
• Must be able to prove ability to type 30 wpm with 90% accuracy.
• High school/GED diploma
• One year office/business experience

Nice To Haves

• Call center experience preferred.

Responsibilities

• Responsible for providing customer service for members and providers in all PHP benefit plans.
• Ensure callers receive service excellence when responding to telephone, written, Pres Online, E-Business, chat and in person inquiries.

Benefits

• medical
• dental
• vision
• short-term and long-term disability
• group term life insurance
• other optional voluntary benefits
• Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED