Travel Technician in Bellaire, TX

Company: Cynet Health
Location: Bellaire
Posted on: November 6, 2024

Job Description:

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.

Keywords: Cynet Health, Houston , Travel Technician in Bellaire, TX, Professions , Bellaire, Texas