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Customer Care Representative

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POST DATE 9/15/2016
END DATE 10/24/2016

Modis Harrisburg, PA

Harrisburg, PA
AJE Ref #
Job Classification
Full Time
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Company Ref #
Required Licenses/Certifications


span span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' Come be a part of a fortune 500 Company! br   br Location: 2400 Thea Drive, Harrisburg PA 17110 /span br Pay: $15.26/Hour  br span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' br Successfully completed the required basic training, able to perform basic job functions with help from co-workers and managers on non-basic issues. Must pass the appropriate pre-employment test battery. Primary duties may include, but are not limited to: Responds to Provider questions via telephone and written correspondence regarding Medicare benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions. Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive provider relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner. Researches and analyzes data to address operational challenges and provider service issues. Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of NGS Medicare services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals. Requires a HS diploma or GED; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background. br Requirements: br • Must be comfortable working in a fast paced environment that requires quick decision making and utilizing resources available to research to resolve customer inquiries in a call center environment br • Possesses strong computer skills and can easily navigate various programs and applications br • Participates in rigorous training and employment is contingent upon passing the employment sequence of testing to show level of knowledge and understanding of the Affordable Care Act. Assessments are generally administered on a weekly basis. They include multiple choice, true/false and short written answers br • Accountable for responding to telephone inquiries from various customers regarding Small Business Health Options Program (SHOP) guidelines, enrollment rules, payment issues and other general inquests. For more information, please refer to br • Provides strong customer service skills to internal and external customers and possesses the ability to think like a customer providing positive customer experiences br • Demonstrates strong communication skills including verbal, written and listening. This is necessary to demonstrate an understanding of what the customer is providing for information as well the ability to document various applications for tracking inquiries and audit purposes not limited to completing documents outlining issues for application adjustments br • Displays an ability to work with others effectively to meet business needs br • Demonstrates a high level of professionalism through tone and demeanor with all internal and external customers br • Exhibits ability to place outbound calls for various campaig