Customer Service Rep IV
Overview
Responsible for all areas of customer service as it pertains to the acquisition and/or retention of members within the health plan or customer access as it relates to patient scheduling and referral within the Access Center. Performs routine & complex servicing of operational issues for providers, members, benefit administrators (Bas), brokers, or provider practices. Serves as the subject matter expert in customer operations for benefit administration, claims, pharmacy issues, group set up, enrollment, billing, broker commission or access and referral issues if within the Access Center. Responsible for root cause analysis and trending of repeat service issues as they pertain to strategic initiatives with particular focus on easy to do business with (ETDBW) initiatives. Works with leadership to implement processes that support ETDBW initiatives.
Acts as the team leader in support of Customer Service Rep teams.
5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.
Education
HS Diploma required
Certification/Licensure
None required
Experience
5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.
Apply Now
Responsible for all areas of customer service as it pertains to the acquisition and/or retention of members within the health plan or customer access as it relates to patient scheduling and referral within the Access Center. Performs routine & complex servicing of operational issues for providers, members, benefit administrators (Bas), brokers, or provider practices. Serves as the subject matter expert in customer operations for benefit administration, claims, pharmacy issues, group set up, enrollment, billing, broker commission or access and referral issues if within the Access Center. Responsible for root cause analysis and trending of repeat service issues as they pertain to strategic initiatives with particular focus on easy to do business with (ETDBW) initiatives. Works with leadership to implement processes that support ETDBW initiatives.
Acts as the team leader in support of Customer Service Rep teams.
5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.
Education
HS Diploma required
Certification/Licensure
None required
Experience
5 years' experience in customer service, health plan claims, marketing, pharmacy tech, OR sales is required.
Apply Now