Call Center Data Entry/Prior Authorization Reps
100% Remote
Pay Rate: 17.00 per hour
Temp to hire
Candidates must have Healthcare experience!
Inbound health insurance customer service: calls regarding coverage information, claims status, in network providers, and general CSR inquiries
Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility and claims.
• Analyze problems and provide correct information and solutions.
• Communicate monthly messages to providers on a specific needs basis.
• Deal tactfully and empathetically with customers.
• Establish and maintain effective working relationships with physician office staff.
• Read, comprehend and verbalize processes and procedures of the organization and of health insurance coverage.
• Multi-task and pay close attention to detail.
• Other duties as assigned.
The Experience You’ll Need (Required):
• Minimum of a high school diploma or equivalent
• Prior experience in Customer Service in a Managed Care Organization preferred
• Knowledge of managed care processes and health insurance coverage preferred
• Outstanding communication skills and the ability to understand complex situations to effectively handle escalated customer needs
• Analytical skills and the ability to read and interpret data
• Problem solving abilities
• Ability to work independently and as a part of a team
• Ability to operate computer programs – Microsoft Word, Microsoft Excel, Microsoft PowerPoint.
• Successful completion of the Customer Service Assessment
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