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Job Description
- Req#: 1307680
- Operates in a high volume, highly structured environment by responding to incoming calls, applying critical thinking to complex guidelines, and using multiple call center specific systems.
- Determines the type of appointment requested or needed, reviews scheduling mix of various physicians/providers, and then makes appointment following appropriate guidelines.
- Prioritizes member needs and offers alternatives to members when appropriate.
- Utilizes superior customer service skills to provide service to members when diffusing difficult member encounters.
- Uses tact and diplomacy in handling difficult interactions with members.
- Determines if calls are urgent or emergent by listening to the member, and following established guidelines, and then transferring the call to a Registered Nurse when appropriate.
- Composes messages for physician/providers, Registered Nurses or other medical staff based on members requests.
- Responds in a courteous and professional manner to general questions, using on-line databases to provide information to any member or other personnel calling the center.
- Identifies ways to improve quality of service to members and recommends steps used to accomplish these changes.
- Must perform all of the above duties while meeting established standards of performance for quality and productivity.
- Performs other clerical duties as assigned.
- Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service.
- Performs other related duties as required.
- One (1) year customer service experience in a service related industry, preferably healthcare.
- High school graduate or General Education Development (GED) equivalent.
- N/A
- All testing must be completed by the end of the posting period.
- All internal transfer applicants and all external applicants for the Customer Service Representative position are required to pass the job related assessment.
- N/A.
Job Summary:This position provides high-level member assistance as first critical contact by appropriately scheduling appointments through complex appointment making applications, transferring calls appropriately, composing messages and providing general information.Essential Responsibilities:Basic Qualifications:ExperienceEducationLicense, Certification, RegistrationAdditional Requirements:Preferred Qualifications:
About the company
Providing high-quality, affordable health care services and improving the health of our members and the communities we serve.