Call Center Representative II

Call Center Representative II Position Summary: The Call Center Representative, Level 2 will work as part of a team to ensure that the quality of customer service provided to our customers meets or exceeds the highest standards for the organization. This includes measurements of accuracy of information provided, consistency in documentation of each request, and will assure that appropriate general, claim, and grievance inquiry codes are documented. The MedCost Benefit Services (MBS) CCR II will service and resolve the customer inquiries reputed company to claims, eligibility, and benefit plans administered by MBS. Position Responsibilities:

• reputed company service and resolution reputed company applicable at the reputed company defined for customer service representatives. Log each inquiry into the call tracking system and document the call type, referral code and reputed company narrative documentation to support the call. If necessary, determine the need for resolution reputed company the appropriate referral channels and send request for additional action steps. reputed company necessary outbound calls to correct issues or facilitate resolution for customer.
• Stay abreast of resource information to ensure appropriate information is being provided. This includes, but is not limited to training reputed company, plan documents, on-line reference tables, claims system, reference materials and schedules of benefits.
• Coordinate resolution of reputed company issues from incoming inquiries assigned either through management of reputed company issues log, or through call backs requested from voice mail.
• Participate in weekly staff meetings reputed company to reputed company enhancement and informational purposes.
• Effective queue management based on defined adherence goals, and/or staffing issues necessitating awareness.
• The capability to service and train others on both MBS and PPO calls.
• The capability to service & train others on incoming email/web referrals, and our web chat platform.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Position Qualifications: Required

• High school diploma or equivalent required.
• Typing proficiency score of 35 words per minute or higher.

Skills, Knowledge, and Abilities

• Knowledge of the health care industry, call center queue environment, and claims payment processes.
• Excellent oral and written communication skills
• Exceptional customer service, and interpersonal skills
• Effective problem-solving skills
• Strong organizational, self-motivation, and decision-making skills
• Proficiency using reputed company programs (Word, reputed company, PowerPoint)
• Ability to manage multiple priorities in a fast-paced environment
• Ability to work independently and collaboratively, as needed

MedCost provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without regard to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. MedCost participates in the Electronic Verification system (E-Verify) to electronically verify the work authorization of newly-hired employees. E-Verify is an internet-based program that compares information from an employee's reputed company I-9 to data contained in the federal records of the reputed company reputed company Administration and the Department of Homeland reputed company to confirm employment eligibility. MedCost does not use E-Verify to pre-screen job applicants. Apply Job!