Bilingual Call Center Rep, Sr
Job Description
ESSENTIAL DUTIES AND RESPONSIBILITIES
3 Years Customer service experience within managed care or insurance industry Or Call center experience within any industry- Required
• Verifies member eligibility through THMP and provides support for this activity for the Call Center Representatives, as
needed.
• Acts as a secondary resource to Call Center Representatives in the absence of the Team Lead. Responds to escalated calls
as appropriate and triages to Management, if necessary.
• Assists with processing workflow queues i.e., urgent requests to ensure timely submitted as requested by the Team Lead.
• Assists with onboarding of new hire employees after training in a Nesting environment. Provides the opportunity for job
shadowing and mentorship.
• Completes and manages Pharmacy queue / Right Fax.
• Assists members/providers with billing inquiries and resolves member/provider billing issues.
Job Requirements
| Skills: | • Knowledge of managed care, Medicaid, call center desktop support applications, customer relations techniques and Member services experience and experience in a call center. | ||
Additional Information
Remote- must be local in the event that there is a need to come in the office.