Travel Technician in Bellaire, TX at Cynet Health
Bellaire, TX 77401
About the Job
**Job Title:** Call Center Representative, Senior
**Job Specialty:** Member Services - Inbound
**Job Duration:** 14 months
**Shift:** Remote - must be local in the event that there is a need to come into the office
**Guaranteed Hours:** 40.00 hours/week
**Experience:** 3 Years of customer service experience within managed care or insurance industry, or call center experience within any industry
**License:** N/A
**Certifications:** N/A
**Must-Have:**
- High school diploma or GED
- Member services experience
- Experience in a call center environment
- Typing skills, 35 WPM
- Bilingual (English-Spanish) preferred
**Job Description:**
- Serve as a Member and/or Provider Advocate with comprehensive knowledge of the organization's processes, policies, and procedures.
- Investigate, resolve, and facilitate resolution of simple to moderately complex issues and/or questions reported by members, prospective members, healthcare providers, or other entities.
- Be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals, and any other Member/Provider needs.
- Assist and advocate for Members and/or Providers throughout the complaint and appeal process.
- Assist Members with timely appointment scheduling.
- Verify member eligibility and provide support for call center representatives as needed.
- Act as a secondary resource to call center representatives in the absence of the team lead.
- Respond to escalated calls as appropriate and triage to management if necessary.
- Assist with processing workflow queues for urgent requests as requested by the team lead.
- Assist with onboarding of new hire employees after training in a nesting environment, providing opportunities for job shadowing and mentorship.
- Complete and manage pharmacy queue / Right Fax.
- Assist members/providers with billing inquiries and resolve member/provider billing issues.
**Skills:**
- Knowledge of managed care, Medicaid, call center desktop support applications, and customer relations techniques.
- General computer literacy.
- Benefits, claims processing, or membership knowledge preferred.
- Ability to work well with the public and adopt a customer perspective.
- Ability to work well individually and in a team environment.
- Effective interpersonal skills and phone etiquette.
- Strong verbal communication skills and good listening skills.
- Knowledge of medical terminology.
- Problem identification and problem-solving skills, ability to multitask.
**Job Specialty:** Member Services - Inbound
**Job Duration:** 14 months
**Shift:** Remote - must be local in the event that there is a need to come into the office
**Guaranteed Hours:** 40.00 hours/week
**Experience:** 3 Years of customer service experience within managed care or insurance industry, or call center experience within any industry
**License:** N/A
**Certifications:** N/A
**Must-Have:**
- High school diploma or GED
- Member services experience
- Experience in a call center environment
- Typing skills, 35 WPM
- Bilingual (English-Spanish) preferred
**Job Description:**
- Serve as a Member and/or Provider Advocate with comprehensive knowledge of the organization's processes, policies, and procedures.
- Investigate, resolve, and facilitate resolution of simple to moderately complex issues and/or questions reported by members, prospective members, healthcare providers, or other entities.
- Be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals, and any other Member/Provider needs.
- Assist and advocate for Members and/or Providers throughout the complaint and appeal process.
- Assist Members with timely appointment scheduling.
- Verify member eligibility and provide support for call center representatives as needed.
- Act as a secondary resource to call center representatives in the absence of the team lead.
- Respond to escalated calls as appropriate and triage to management if necessary.
- Assist with processing workflow queues for urgent requests as requested by the team lead.
- Assist with onboarding of new hire employees after training in a nesting environment, providing opportunities for job shadowing and mentorship.
- Complete and manage pharmacy queue / Right Fax.
- Assist members/providers with billing inquiries and resolve member/provider billing issues.
**Skills:**
- Knowledge of managed care, Medicaid, call center desktop support applications, and customer relations techniques.
- General computer literacy.
- Benefits, claims processing, or membership knowledge preferred.
- Ability to work well with the public and adopt a customer perspective.
- Ability to work well individually and in a team environment.
- Effective interpersonal skills and phone etiquette.
- Strong verbal communication skills and good listening skills.
- Knowledge of medical terminology.
- Problem identification and problem-solving skills, ability to multitask.
