Customer Service Representative I - Commercial Enrollment, Geisinger Health Plan (resident in Eastern Standard Time Zone)

Geisinger • Work from home (Pennsylvania), PA

7d • Remote

About The Position

Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service. Proficient in two or more specialties for any one line of business. Actively participates in cross training, improving processes within the Customer Service team.

Requirements

• High School Diploma or Equivalent (GED)
• Minimum of 1 year-Customer Service
• Communication
• Customer Retentions
• Customer Service
• Quiet, Dedicated Workspace: A private, distraction-free area within your home to support focused work.
• Adequate Workstation Setup: Sufficient space to accommodate all employer supplied equipment, including monitors, keyboard, and other peripherals.
• High-Speed Internet Connection: Connection Type: Cable modem only (DSL, wireless cellular, and satellite services are not permitted). Minimum Speed Requirements: Download: 75 Mbps, Upload: 25 Mbps, Ping: Less than 150 ms, Jitter: Less than 30 ms.
• Connectivity: The computer must be connected via Ethernet cable. Wi-Fi is not permitted unless a Virtual Private Network (VPN) is used to secure the connection.

Nice To Haves

• Proficient in two or more specialties for any one line of business.
• Actively participates in cross training, improving processes within the Customer Service team.

Responsibilities

• Provides guidance related to complex issues to customer service representatives.
• Manages a complex caseload while adhering to production and quality standards.
• Organizes and distributes work to staff members.
• Acts as a liaison between the member and provider in resolving claims, benefit and eligibility concerns.
• Serves as primary contact for members and providers and co-workers.
• Maintains strong relationships with members and providers through telephone contact, written correspondence, and on site visits.
• Investigates all concerns and issues to assure accurate information is provided.
• Provides resolution for all member and provider concerns and inquiries.
• Establishes and performs maintenance of member and provider relations.
• Responds to web requests and emails as required from internal and external contacts.

Benefits

• healthcare benefits for full time and part time positions from day one
• vision
• dental
• domestic partners

What This Job Offers

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