Associate, Commercial Services, Care Center Representative
Associate, Commercial Services, Care Center Representative
Status: Full-time, Exempt: No
Summary:
Responsible to address member/subscriber/provider inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Majority of contact is via telephone, with some in-office contact and written correspondence/e-mail as needed. Position handles a variety of insurance types including HMO, POS, PPO, ASO, Indemnity, NY and VT Exchange plans, Medicare and Medicaid. Possess the ability to work in a fast-paced environment and deal with the challenges inherent in a call-center atmosphere. Strive to deliver excellent customer service on each call. Responsible for individual accessibility and quality goals, and will directly support additional team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. Work closely with all other MVP departments, especially Operations, Utilization Management and Professional Relations. Effective and positive interpersonal skills are necessary to deliver exceptional customer service with a goal to resolve all inquiries on the initial call from the customer. Performs other duties as assigned.
POSITION QUALIFICATIONS
Minimum Education: High School diploma or equivalent when possesses customer service employment experience. Post high school education (Associates degree, college courses) preferred
Minimum Experience: Successful customer service experience and relevant office experience Experience in positions where adherence to strict confidentiality is required Healthcare, health insurance experience preferred Call Center experience preferred
Required Skills:
•Strong problem solving skills accompanied by effective written and verbal communication skills
•Demonstrated excellent customer service skills including superior accountability and follow through
•Demonstrated PC skills using Microsoft applications
Preferred Skills:
•Bilingual (Spanish speaking) preferred
•Excellent telephone/communication skills
•Familiarity with healthcare benefits and/or medical terminology
•Strong PC skills
#Zip
Other details
- Job Family Customer Service
- Pay Type Hourly
- Headquarters Office, 625 State Street, Schenectady, New York, United States of America