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Customer Service Representative 1
Ref No.: 18-12894
Location: Franklin, Tennessee
Start Date / End Date: 10/29/2018 to 04/28/2019
Duration:0-6 month(s)

Description/Comment:PAY RATE IS $16/hr.
• Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.
• Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers.
• Explains member's policy benefits and coordination with Medicare
• Handle complaints (member/provider), via relevant recording/reporting system
• Ensures compliance with requirements of regional compliance authority/Medicare
• Determines applicable coverage provisions and verifies member plan eligibility
• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.
• Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received
• Adheres to international privacy policies, practices and procedures

PER HM:
The hours may vary. Our call center is open from 7 am to 8 pm Central Time. They could have an eight hour shift that falls within our business hours.

Additional Job Details:Family Summary/Mission To increase member satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully-integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes. Position Summary/Mission Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature. *Potentially temp to hire* Typing test/computer skills testing REQUIRED Can submit off the rate card - PAY RATE IS $16/hr CSR must be able to read from a script. CSR must be able to type 30-35 WPM. CSR's should have at least a year of Medicaid/ Medicare experience. CSR must have Call Center/ Contact Center background