Pipeline Req-Customer Service Senior Representative

Job Title: Pipeline Req-Customer Service Senior Representative
Job Location: Remote, CT
Job Duration: 3-4 Months (possibility of extension)
Shift: Monday - Friday 10am - 7pm CST Training Schedule - 8am - 5pm
Payrate: $18/hr on w2

Duties:

• Candidates must have a quiet and private working environment.
• Expected to take inbound and outbound calls during their entire shift.
• Candidates must have a hard wired internet connection, WiFi will not suffice.
• Delivers specific delegated Customer Service tasks assigned by a supervisor.
• Receives requests by mail, telephone, or in person regarding insurance claims/policies.
• Responds to inquiries from policy holders, providers and/or others for information and assistance.
• Performs research to respond to inquiries and interprets policy provisions to determine most effective response.
• Mails or routes claim forms and supporting documentation to various units for final processing.
• Position typically requires excellent interpersonal skills, ability to understand and interpret policy provisions.
• Independently responds to inquiries, grievances or complaints of moderate to substantial complexity.
• Completes day-to-day tasks without immediate supervision, but has ready access to advice from more experienced team members.
• Tasks involve a degree of forward planning and anticipation of needs/issues.
• Resolves non-routine issues escalated from more junior team members.

• High School diploma and at least 1-2 years of customer service, insurance verification or related area required.

• Previous experience in the healthcare industry 1-2 years with third-party benefits verification experience preferred.
• Basic knowledge of Outlook, Excel, Word, MS Office, SharePoint required.
• Excellent verbal and written communication skills.
• Ability to interpret and appropriately follow policies, procedures, manuals, and written instructions as given.
• Demonstrated ability to handle challenging situations in a professional manner.
• Willingness to work varying tasks.
• Knowledge of healthcare pharmaceutical and services a plus.

• Attention to detail.
• Knowledge of Third Party Insurance Carrier Processes.
• MUST have experience taking inbound and outbound calls (30 calls per day).