JOB LOCATION: Harrisburg, PA
WAGE RANGE*: 17 - 19/ hour
JOB NUMBER: 359
REQUIRED EXPERIENCE:
High School diploma or equivalent
2+ year's customer service/telephone experience in a similar call center environment and/or industry.
Must have ability to effectively communicate with team members and external customers
Must have ability to research and resolve issues related to Medicaid program and service eligibilityJOB DESCRIPTION
The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization's services to meet productivity and quality standards.
Job Description:
Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)
Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes
Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating proceduresInteracts with hospitals, physicians, beneficiaries, or other program recipients
Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party
Meets or exceeds standards for call volume and service level per department guidelines
Initiates files by collecting and entering demographic, provider, and procedure information into the system
Serves as liaison between the Review Supervisors and external providers
Maintains logs and documents disposition of incoming and outgoing callsPreferred Qualifications:
Previous experience in the medical office or other medical setting preferred
General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
Knowledge of CPT and HCPCS codes preferred
PC proficiency to include Microsoft Office Suite
Experience with Microsoft programsEqual Opportunity Employer Veterans/Disabled
* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions.
