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Healthcare CSR

Plano, TX
Role: Healthcare Customer Service Representative
Duration: 11 months
Location: Remote

Job Responsibilities
 
 
Essential Functions
 Responsible for inbound phone inquiries primarily dealing with either:
- Member benefits and eligibility related to the Medicaid, CHP and FHP product lines or
- Provider benefits, eligibility, PEP and claim status, member pharmacy calls, utilizing prior approval skills (ACP/DME and CCD) and placing outbound calls on a routine basis.
 Resolve issues with respect to benefits and eligibility by researching documentation, system information or gaining knowledge from other employees, management or departments.
 Interact with customers, document call specifics and demonstrate quality program behaviors to create an outstanding relationship with each caller.
 Work with outside vendors as needed to answer questions or resolve issues.
 Respond to member correspondence/email in writing utilizing an existing Customer Service system letter to respond effectively to members.
 Conduct orientation to new members by providing an overview of the member’s plan and pertaining administrative policy.
 
 
Education And Experience
 High School Diploma, GED, or Equivalent work experience
 Must be computer literate and able to multi-task – i.e. document call experience while using the Quality Program.
 Excellent communication and interpersonal skills.
 
 
 
 
Regards,

Rahul Yadav
(408) 560-3956
rahul@reqroute.com
http://reqroute.catsone.com/careers/index.php (Click to see MOST Current Openings)
 
Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
 
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)

 

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