Customer Services Representative

The Nemours Foundation • Jacksonville, FL

13d • Onsite

About The Position

Nemours is seeking a Customer Service Rep in Jacksonville, FL. Answering incoming calls from guarantors and insurance companies for provider and hospital related questions. Resolution of guarantor and/or insurance company questions and issues in accordance with established guidelines and procedures. Provide excellent customer service at all times ensuring each contact is a uniquely satisfying experience for the caller.

Requirements

• High School Diploma
• 1-3 years experience

Nice To Haves

• Thorough knowledge of insurance payors (Commercial, Government, HMO/PPO and Indemnity) preferred

Responsibilities

• Answer incoming calls from guarantors and insurance companies in a high pressure call center
• Research and resolve issues for guarantors, insurance companies and our internal customers.
• Perform necessary account maintenance functions, verify demographics, update guarantor information and fulfill the customer or insurance companies requests.
• Verify and process insurance coverage information, perform insurance adjustments and/or change the insurance filing order as needed.
• Review and analyze balances (credit or debit) to determine if the guarantor or insurance owes additional money or if a refund is due.
• Establish payment plans, set-up recurring payments and transfer guarantor funds as needed to clear any outstanding guarantor balances.
• Troubleshoot issues with the online payment portal for guarantors.
• If resolution is not possible by the Customer Service Representative, the issue will be escalated as appropriate.
• Perform annual required system upgrade and computer based training

What This Job Offers

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