Travel Technician in Bellaire, TX

Company: Cynet Health
Location: Bellaire
Posted on: November 4, 2024

Job Description:

Job Title: Senior Call Center Representative Job Specialty: Member Services - Inbound, Health Plan Job Duration: 14 months Shift: Remote - Must be local in the event there is a need to come into the office Guaranteed Hours: 40 hours per week Experience: Minimum of 3 years in customer service within managed care or insurance industry, or call center experience in any industry License: N/A Certifications: N/A Must-Have: High school diploma or GED, member service experience, bilingual preferred (English/Spanish) Job Description: - Serve as a Member and Provider Advocate by understanding organizational processes, policies, and procedures. - Investigate, resolve, and facilitate resolution of simple to moderately complex issues or questions reported by health plan members, prospective members, healthcare providers, or other entities. - Be the first point of contact for assistance or information regarding eligibility, benefits, authorizations, claims, referrals, and other Member/Provider needs. - Assist and advocate for Members and Providers throughout the complaint and appeal process. - Assist Members with timely appointment scheduling. - Verify member eligibility and support Call Center Representatives as needed. - Act as a secondary resource to Call Center Representatives in the absence of the Team Lead. - Respond to escalated calls and triage to Management if necessary. - Assist with processing workflow queues to ensure timely submittal as requested by the Team Lead. - Help onboard new hire employees in a Nesting environment, providing job shadowing and mentorship. - Complete and manage Pharmacy queue and Right Fax. - Assist members/providers with billing inquiries and resolve billing issues. Skills Required: - Knowledge of managed care, Medicaid, call center desktop support applications, customer relations techniques, and general computer literacy. - Benefits, claims processing, or membership knowledge preferred. - Ability to work well with the public, adopt a customer perspective, and excel individually and in a team environment. - Effective interpersonal skills and phone etiquette. - Strong verbal communication and good listening skills. - Knowledge of medical terminology. - Problem identification and solving skills, with the ability to multitask. - Typing skills, 35 WPM. - Bilingual in English and Spanish is preferred.

Keywords: Cynet Health, League City , Travel Technician in Bellaire, TX, Professions , Bellaire, Texas