Please visit our website to apply: Federal Disc/Physical Demand It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. In addition to your salary, CareFirst offers benefits such as a comprehensive benefits package, incentive and recognition programs, and 401k contribution (all benefits are subject to eligibility requirements).ĭepartment: (MD Medicaid -MEMBER SERVICES)ĬareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. Salary will be based on education, location, experience, certifications, etc. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Good oral and written communication skills., Advanced Strong interpersonal communication skills., Advanced Maintains a positive and enthusiastic attitude in an environment that requires teamwork, efficiency, cross-training, and continuous improvement.Įnsures compliance with Standard Operating Procedures and serves as a resource to the staff.Įducation Level: High School Diploma or GEDĮxperience: 5 years customer service experienceĥ or more years experience in a call center customer service role or experience with medical or insurance terminologyĭemonstrated skills as an empathetic and compassionate communicator., AdvancedĪbility to quickly gain customer trust and confidence., Advancedĭemonstrated PC navigation and data entry skills., Advanced Mentors and coaches team on policies changes, system updates, learning tools, or other job requirements to provide a consistent base for new employees. Prioritize workflow and multitask efficiently in a fast pace environment while using multiple skill sets with demonstrated high proficiency.Īcts as the lead Customer Service Advocates to ensure that the team provides accurate and consistent information to inquiries in a courteous, timely, and professional manner. Resolves highly complex member, provider and broker inquires by gathering and investigating information verifying customer understanding of information and resolves issues based on applicable policies and procedures examine claim submissions verifying claim and system accuracy as well as liability. Appropriately documents all client interactions according to established departmental procedures. Uses knowledge of products or services by collecting and the contractual provisions that govern administration to provide customer information service and analyzing education to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations to determine the need for managed care initiatives and to administer all types of service to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments if applicable. Mentor and lead lower level Customer Service Advocates. Maintains a more advanced knowledge of company products and services. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications. Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment.
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