Healthcare Call Center Representative from A-Line Staffing Solutions

Job Title: Healthcare Call Center Representative

Pay: $17.25 an hr | Bi-weekly

Job Type: Onsite in San Antonio, TX

Start date: 10/25/24

Shift Options:

• Training M-F 8-4:30 Monday - Friday Hours between 7:00AM - 6:30PM, Rotating Saturday Schedule

Healthcare Call Center Representative Overview:

• This position involves extensive member contact via the telephone.
• Handles inbound/outbound calls from participants and/or prescribers when needed to start and process order requests.
• Ability to research and investigate orders using PeopleSafe and LINKS.
• Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience.
• Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry.
• Responsible for researching and resolving payment issues.
• Call to offer a direct sale of medications to participants and posting payments to the proper account.
• Perform required transactions to complete mail order prescriptions.
• Follow through on standard operating procedures, problem-solving and troubleshooting within guidelines.
• Ability to work under strict turn-around-times.
• Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
• The primary responsibilities are to verify insurance coverage for potential new clients.
• Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.
• This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
• Strong attention to detail, and proven analytic and problem solving.

Healthcare Call Center Representative Qualifications:

• Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to similar environment).
• Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.
• Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.
• Basic alpha number data entry skills with attention to accuracy and quality is essential.
• Intermediate math skills are required with attention to detail and quality essential.
• Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology.
• Ability to work with people in a team environment while meeting individual performance goals.
• Must be able to read and interpret policies, procedures and instructions.
• Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Healthcare Call Center Representative Benefits:

• Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

How to Apply:

If you are interested in this position, please apply OR submit your resume to:

Saw Hlaing | shlaing@alinestaffing.com | 412-790-5425