Work From Home Call Center Representative Health Plan

Presbyterian Healthcare Services•Remote Workers New Mexico, NM

9d•$17 - $25•Remote

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team. This role is a work at home role available for Metro Albuquerque residents only at this time. 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 inquires.

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

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