What are the responsibilities and job description for the Customer Service Representative position at National Healthcare Solutions, Inc.?
Position Summary:
The Customer Service Representative serves as a liaison between customers and the sales and service staff, providing exemplary support and assistance.
Essential Duties and Responsibilities:
The essential functions include, but are not limited to the following:
- Communicate and provide service to preferred providers in order to build positive supporting relationships.
- Assists members, providers and healthcare providers with benefit inquiries, referral prior authorizations status and eligibility via telephone.
- Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustments.
- Document and submit responses properly with accurate information and leading through with professionalism and courtesy.
- Follows-up on customer issues, researches problems and processes documents necessary to ensure a successful resolution.
- Provides clear articulate communication to accurately describe our services to members/providers and collect information.
- Handles calls and correspondence that are predominantly routine but may require some deviation from standard procedures.
- Provide a high quality of customer satisfaction while responding to member and other stakeholder inquiries in a courteous and professional manner.
- Performs any other duties that may be requested by supervisor or management.
Minimum Qualifications (Knowledge, Skills and Abilities):
- 1-3 years experience in the insurance industry.
- High school diploma
- Good verbal and written communication skills
- This position requires a person who has an inherent service orientation, who can remain calm and clearly communicate tactfully, both externally and internally
- Strong Knowledge of commonly used concepts, practices, and procedures with the insurance field.
- Ability to work and problem solve independently as well as an integral part of a team required.
- Strive for high-quality work in completing assignments.
- Strong organizational/project management skills and ability to manage administrative functions.
- Proficiency in relevant computer applications and call systems