Customer Service Representative

Job Title: Customer Service Representative 1

Location: Franklin TN 37067

Duration: 0-8 months (temp to hire)

Job Description:

·These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm. Contractors would need to attend training and those will be Full time hours for 4 weeks.

·Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.

·Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers.

·Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers.

·Explains member's policy benefits and coordination with Medicare

·Handle complaints (member/provider), via relevant recording/reporting system

·Ensures compliance with requirements of regional compliance authority/Medicare

·Determines applicable coverage provisions and verifies member plan eligibility

·Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.

·Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

·Adheres to international privacy policies, practices and procedures

·The hours may vary. The call center is open from 7 am to 8 pm Central Time. These PART TIME shifts would 4 or 5 hours between 8 am and 1 pm.

·Handles customer service inquiries and problems via telephone, internet or written correspondence.

·Customer inquiries are of basic and routine nature.

·Potentially temp to hire* Typing test/computer skills testing REQUIRED

·CSR must be able to type 30-35 WPM. CSR's should have at least a year of Medicaid/ Medicare experience. CSR must have Call Center/ Contact Center background.