Job Description
Job Title:Customer Care Representative I Reports to:Customer Service Manager Status:Full-Time / Exempt Location:Houston, TX Position Summary:As a customer care representative, you will act as a trusted advisor and educator on healthcare-related inquires.You will guide our patients to a better healthcare experience, working every day to make healthcare easy by the service you provide.Responsibilities: Proactively resolve member and/or provider concerns. Assisting Providers and Patients find a doctor via telephone calls, online chats, or e-mails. Partner with internal departments to create a seamless experience to resolve potential issues. Must be able to work 8-hour shifts, between 8 am-5 pm. Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors Document and track contact with members, providers, and plan sponsors Handles incoming requests for appeals and pre-authorizations. Other job duties as assigned Triages resulting rework to appropriate staff. Educates providers on our self-service options Qualifications: High school diploma Knowledge in Healthcare Authorizations, Benefits, and Claims 1 year of experience in customer service (including excellent communication both verbal and written and problem-solving skill Any combination of education and experience, which would provide an equivalent background) A passion for serving others with the ability to be empathetic and the desire to help resolve members questions at the first point of contact Must have a strong work ethic and sense of responsibility for your teammates and our members Ability to multi-task to accomplish workload efficiently Understanding of medical terminology Ability to maintain accuracy and production standards. Technical skills Attention to detail and accuracy Analytical skills Experience in a production environment High school or GED Equivalent Company Benefits:In a full-time permanent position, you will be able to participate in our company benefits program which includes:Group benefits include medical, dental, vision, company paid $25k life with the option to add more voluntary life insurance coverage for employee and their family, STD, company paid LTD, 401k, and a variety of supplemental coverages such as hospital, cancer, legal, etc.available to the employee and their family.Employer funded HSA program.Paid Time Off ranging from 5-28 days depending on the length of service.Profit-Sharing Bonus Program 100% Employer Paid Pension Plan after 5 years Employer-Sponsored Wellness Program with access to company gym and locker rooms in Houston offices.Work Remotely No Work Remotely No Job Type:Full-time Pay:$15.00 - $22.00 per hour Benefits:401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance Schedule:8 hour shift Experience:Customer Service:1 year (Preferred) Work Location:In person.