Description

We are seeking a Customer Service Representative Senior to join our team in the Healthcare/NHS industry!. This role offers a long-term contract employment opportunity, where you will be responsible for processing customer inquiries and maintaining precise records.

Hiring in Central, Mountain and Pacific time zones only.

Medicaid experience is required.

Responsibilities:

• Efficiently handle and respond to 50-70 inbound calls every day

• Tackle inquiries from both members and providers with utmost professionalism

• Ensure prompt and accurate disposition of claims

• Keep track and provide updates on authorization status

• Master and adhere to internal workflow processes within the department

• Display empathy and compassion while interacting with customers

• Maintain punctuality and reliability for smooth operations

• Cater to customers by providing service in different languages such as Spanish, Vietnamese, Farsi, Korean, Chinese whenever necessary

• Utilize your knowledge in healthcare and call center environment to deliver quality service.

Requirements • Proficiency in Customer Service, demonstrating the ability to handle and resolve customer queries efficiently

• Experience in answering inbound calls in a fast-paced environment

• A strong understanding and commitment to delivering Quality services

• Comprehension of the concept 'About Time', indicating the ability to manage time effectively

• Proficiency in Claim Administration, including processing, managing, and settling claims

• Prior experience in a Call Center Customer Service role

• Ability to answer and resolve customer queries promptly and professionally

• Fluency in Spanish Language to cater to a diverse range of customers

• Familiarity with HealthCare.gov, demonstrating the ability to navigate and utilize the platform effectively

• Experience in managing Authorizations, including processing and approving requests

• Understanding of Methodology and Workflow Processes in healthcare settings

• Basic knowledge of R Code, indicating proficiency in data analysis and programming

• Experience in an Offshore setting, demonstrating the ability to adapt to different work environments

• Punctuality and reliability, ensuring all tasks are completed in a timely manner

• Fluency in Chinese to cater to a diverse range of customers

• Compassion towards customers, demonstrating the ability to empathize and deliver patient-centric care

• Familiarity with Cedar.AI, indicating the ability to utilize AI systems effectively

• Fluency in Korean Language to cater to a diverse range of customers

• Fluency in Farsi Language to cater to a diverse range of customers

• Understanding of TRICARE, the health care program

• Familiarity with NIS (National Information Systems), demonstrating a strong understanding of healthcare information systems.

Candidates must be eligible to work in the U.S. TalentMatch®

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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