Customer Service Representative (Hybrid)

Customer Service Representative (Hybrid) Digitive LLC Indianapolis, IN Job Details Contract $16 - $18 an hour 21 hours ago Qualifications Bilingual Spanish Customer service English High school diploma or GED 1 year Entry level Full Job Description Customer Service Representative (Candidate Must reside in Indiana) Shift Notes: Training is hybrid (3 days in office/2 days at home) for the first 4-6 weeks. They will then transition to remote. Remote with onsite/virtual training. Work from home position after training completion Position Summary: This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. Also may be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. Essential Functions and Responsibilities: 1. Meet the Department standard of calls answered, and call documentation entered. 2. Assist Members and Providers with questions and concerns. Finding Provider(s)/Services for members Arrange Transportation for members Answer billing/claims status questions; resolve claim issues for members Assist with pharmacy issues Help Members access community support services Verify member eligibility Quote benefits Assist with Referrals Assist with member health assessments Assist members with closing gaps in care 3. Ongoing member education. 4. Responsible for all benefits information given to Members and Providers. 5. Participate in Departmental Projects, as appropriate. 6. Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings. 7. Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole. Job Type: Contract Pay: $16.00 - $18.00 per hour Expected hours: 40 per week Shift: Day shift Morning shift Education: High school or equivalent (Required) Language: Spanish (Required) Work Location: On the road