You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Delivers education and information to members and/or providers on behalf of the customer service team to help inform them of the latest updates or changes made to products, gather information, and ensure a successful experience. Facilitates the reach outs via outbound calls to provide providers with timely, accurate, and personalized support. Reaches out to members and/or providers for educational or informational purposes to help support solutions or concerns Escalates calls in the event providers are unable to deliver solutions Serves as the front-line support on various member and/or provider inquiries, requests, or concerns Assists with sharing product awareness campaigns, policy changes, directory audits, monthly provider satisfaction surveys, and basic claims related outreach with providers Maintains performance and quality standards based on established contact center metrics Expands knowledge on primary market and/or plan, and may expand to cover additional markets and/or plans that may require minor research (e.g., benefits eligibility) Documents information including demographics, call summaries, and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance Performs other duties as assigned Complies with all policies and standards.
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Job Type
Full-time
Career Level
Entry Level
Industry
Ambulatory Health Care Services
Education Level
High school or GED