Customer Service Rep

$33,280 - $33,280/Yr

SelectStaffing - Albuquerque, NM

Part-time - Entry Level

Remote - Albuquerque, NM

Administrative and Support Services

About the position

The Remote Customer Service Representative position at Select Staffing involves providing exceptional customer service to members and providers of various benefit plans. This role requires effective communication and problem-solving skills to address inquiries related to insurance benefits, coverage, and premiums. The position is primarily remote, with the requirement to report to the Albuquerque office for initial training and equipment pickup.

Responsibilities

• Respond to questions or issues from health plan members and providers about insurance benefits, coverage, or premiums.
• Handle incoming calls routed through skill-based technology to meet quality standards and performance measurements.
• Conduct outbound calls as required and meet established quality/quantity guidelines supporting plan initiatives and/or programs.
• Develop and maintain positive customer or partner relationships.
• Act as a member/patient advocate in dealing with practitioners, employer groups, and brokers.
• Maintain prescribed standards of quality in all research, customer and partner contacts/service functions.
• Research inquiries/special projects as requested and respond to customer, partner or other business units to ensure accuracy of benefit interpretation.
• Use Microsoft Word, Excel or similar databases for responses to customers or partners.
• Perform other functions as required.

Requirements

• High school diploma plus one to three years of office/business experience; call center experience preferred.
• Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff.
• Strong written communication skills, including business writing and presentation skills.
• Strong organizational skills, ability to create, sort and analyze reports (Excel, Access, etc.) and system processes.
• Ability to retain plan details and basic medical terminology.
• Must be able to work cooperatively with other employees and function under pressure.
• Demonstrated ability to sustain quality standards.
• Must be able to type 30 WPM with 90% accuracy.

Nice-to-haves

• Claims processing experience in managed care with possible enrollment experience.
• Spanish and Navajo language skills.

Benefits

• Work from home after initial training.
• Weekly pay.