Log In
Sign Up
Customer Service Representative
Driscoll Health Hiring for Bilingual Customer Service Rep Job at McAllen, TX Full Time
Where compassion meets innovation and technology and our employees are family.
Thank you for your interest in joining our team! Please review the job information below.
SIGN ON BONUS
General Purpose of Job:
Customer Service Representative is responsible for the assisting Member/ Provider with healthcare inquires concerns, or complaints via telephone.
Essential Duties and Responsibilities:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or health plan administration, as required.
General Duties:
- Respond to member/provider 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.
Education and/or Experience:
- Minimum of a high school diploma or equivalent
- Prior experience in Customer Service in a Managed Care Organization preferred
- Ability to type a minimum of 35 words per minute
- 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
- Must speak Spanish
Report