Title - Bingual Member Service Representative

*Must be fluent in English and Spanish*

Pay: 19 to 20 an hour, weekly pay

Full time, 40 hours a week with possibility for overtime

Location: Downtown Chicago 60606, first day will be in person in order to pick up equipment and then the role will be fully remote!

Training will be 8am - 4:30pm Monday to Friday for the first 3 weeks

After training must be willing to work an 8 hour shift within the hours of operation (7am to 8pm CST)

The call center is open 7 days a week during AEP / OEP season

Qualifications:

Previous Customer Service- over the phone

Fluent in English and Spanish

Previous work in a call center / Healthcare experience

Ability to navigate a computer

Job Description:

The Customer Service Representative is the primary point of contact for all members, providers, agents/brokers. The Customer Service Representative provides all aspects of excellent customer service delivery. This position handles issues related to either member or provider inquiries.

ESSENTIAL FUNCTIONS:Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility, and claims.Analyze problems and provide correct information and solutions.Communicate monthly messages to providers on a specific need basis. Deal tactfully and empathetically with customers. Establish and maintain effective working relationships with physician office staff. Read, comprehend, and verbalize processes and procedures of the organization and of health insurance coverage. Multi-task and pay close attention to detail.

JOB REQUIREMENTS: Minimum of a high school diploma or equivalent

Prior experience in Customer Service in a Managed Care Organization preferred

Ability to type a minimum of 35 words per minute

Knowledge of managed care processes and health insurance coverage preferred

Outstanding communication skills and the ability to understand complex situations to effectively handle escalated customer needs

Analytical skills and the ability to read and interpret data

Problem solving abilities

Ability to work independently and as a part of a team

Ability to operate computer programs - Microsoft Word, Microsoft Excel, Microsoft PowerPoint

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