Clinical Service Rep

Cooper University Hospital • Camden, NJ

6d • $20 - $31

About The Position

Responsible for communication between all customers via telephone. Customers include employees, members, physicians, referral sources, and providers. The communication includes, benefit coverage, medical services, appeals and grievances, provider access and availability, claims investigation. The position utilizes computer terminal to manage and obtain essential information. Researches inquiries and demonstrates a strong ability to resolve issues according to the Plan document and policies and procedures. Refers unsolved inquiries and corrections to the appropriate analyst for resolution. Achieves maximum time effectiveness and customer service by answering all incoming phone calls within 3 rings. Provides clerical and telephone support for Case Management program. Maintains provider file compliance according to directive. Performs duties as assigned by Supervisor within the scope of knowledge and skill.

Requirements

• Previous customer service experience
• High School Diploma or Equivalent required

Nice To Haves

• Medical or health insurance background preferred

Responsibilities

• communication between all customers via telephone
• Researches inquiries and demonstrates a strong ability to resolve issues according to the Plan document and policies and procedures
• Refers unsolved inquiries and corrections to the appropriate analyst for resolution
• Achieves maximum time effectiveness and customer service by answering all incoming phone calls within 3 rings
• Provides clerical and telephone support for Case Management program
• Maintains provider file compliance according to directive
• Performs duties as assigned by Supervisor within the scope of knowledge and skill

Benefits

• Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.
• We also provide attractive working conditions and opportunities for career growth through professional development.

What This Job Offers

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