[Hiring] Part-Time Off Hour Customer Services Representative @Msccn

Role Description

Under the direct supervision of the operations supervisor, the customer service representative is responsible for responding to a diverse membership and their providers, as well as other customers, in a timely, professional, and courteous manner. This includes:

• Inbound and outbound member and/or provider phone calls or correspondence regarding benefits, eligibility, or customer issues.
• Makes outreach welcome calls to new members and conducts Health Risk Assessment Surveys as needed.
• Provides member education and assists members with PCP selection and assignments.
• Assists with access to care and wellness program.
• Follows internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures.

Additional responsibilities include:

• Demonstrating a passion for providing superior customer service.
• Creating accurate and timely member documentation concerning all inquiries.
• Presenting and projecting a positive image of the company.
• Striving to resolve inquiries on first contact.
• Providing feedback and/or solutions to the supervisor for continuous process improvement.
• Creating and supporting an environment that fosters teamwork, cooperation, respect, and diversity.
• Maintaining an awareness of all product knowledge information.
• Responding positively to support change within the department and the company.
• Being flexible regarding job responsibilities and schedule, including overtime and holidays.
• Routinely meeting or exceeding contact center key performance indicators.
• Performing other duties as assigned.

Qualifications

• 1 year prior customer service experience required.
• Call center experience taking in-bound and/or out-bound calls preferred but not required.
• Prior experience in the healthcare or managed care industry is preferred but not required.
• High School diploma or GED required.
• Minimum 45 wpm typing skill preferred.
• Excellent judgment and decision-making skills in dealing with complaints and sensitive requests required.
• Ability to use PC applications in an MS Windows-based environment.
• Must be in the Eastern Standard Time zone.

Requirements

• Mandatory Orientation: First Monday of employment, held remotely from 8:30 AM – 5:00 PM.
• Training Schedule: Begins the first Tuesday following orientation, Monday – Friday | 7:00 PM – 11:00 PM.
• Work Schedule: 20 hours per week.

Benefits

• Flexible work solutions include remote options and hybrid work schedules.
• Competitive pay.
• Paid time off, holidays, and volunteer events.
• Health insurance coverage for you and your dependents starting Day 1.
• 401(k) retirement savings plan.
• Tuition reimbursement.
• And more.

Company Description

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include:

• Integrated managed care products.
• Pharmaceutical benefit management and specialty pharmacy services.
• Behavioral health services.
• Other administrative services.