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Mid LevelFull-timeGoAWSAIGit
Salary Range
$16 - $16 /hour
About the Role
We are hiring Customer Service Representatives to review insurance and medical claim documents for eligibility determination or recertification. This role involves processing applications, updating case information, and conducting case reviews in a call center setting, with work primarily conducted offline.
Key Responsibilities
- →Answer questions from participants regarding eligibility for medical services programs
- →Gather, verify, evaluate, and enter social, financial, and medical information to determine eligibility
- →Maintain complete and accurate computerized records of participant interactions
- →Perform diverse tasks while staying current with program requirements
- →Ensure timely processing of participant inquiries and annual reviews
- →Explain and interpret agency policy, procedures, and rules to clients
- →Refer clients to other agencies or community resources as necessary
- →Meet or exceed daily standards for performance, accuracy, customer service, and quality
Requirements
- ✓Excellent reading and comprehension skills
- ✓Proficiency in interpreting and applying federal and state laws, program policies, and procedures
- ✓Excellent customer service and problem resolution abilities
- ✓Ability to operate a personal computer and use automated technology for case records
- ✓Ability to maintain accurate records and organize workload to meet timeframes
- ✓Skill in handling client behaviors such as fear, hostility, and aggression
- ✓Ability to adapt to changes in policy, procedures, and work assignments
- ✓Ability to communicate effectively with applicants, recipients, the public, and other employees
Benefits
- ★Insurance, PTO, sick leave, holiday pay, and 401k option after 60 days
