Description As a Customer Service Representative, you will be responsible for answering incoming calls from customers (such as members, providers, and facilities) in a call center environment. You will identify the type of assistance needed, including benefit and eligibility information, billing and payments, authorizations for treatment, explanation of benefits, and claims information. Your goal will be to resolve issues on the first call, utilizing complex computer systems to identify and address the customer’s needs.
Requirements - Answer incoming phone calls from customers and determine the type of assistance required.
- Resolve issues on the first call and provide accurate responses by navigating through computer systems.
- Deliver clear and helpful information, fostering strong relationships with members and providers.
- Ask appropriate questions and actively listen to identify issues, while documenting required information in computer systems.
- Research complex issues across multiple databases and collaborate with support resources to resolve customer issues.
- Meet performance goals for efficiency, call quality, customer satisfaction, and attendance.
- Ability to maintain the confidentiality and security of all company-sensitive documents, as you will be handling Protected Health Information (PHI).
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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