Customer Care Representative

Position Code: 9908

Department:  Customer Care
Location: Nashville, Tennessee
Immediate Supervisor:  Elaine Crook
Status: Non-Exempt
Posted: March 02 2017

Essential Functions of Job:

• Handling customer service calls from members, providers and client representatives • Analyzing problems brought forth during phone inquiry and applying appropriate resolutions • Work with Analysts and other departments to research problems • Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) • Maintaining and assuring accuracy of documentation • Continuous knowledge of numerous benefit interpretations • Assist in on the job training of new members • Ability to learn claim processing as well as adjustments • Ability to report to the office

Qualifications:

• High school diploma or equivalent • Effective organizational and prioritization skills • Excellent oral and written communication skills • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Working knowledge of CPT-4 coding, ICD9 and medical terminology a plus • 2-3 years experience in the medical field, customer service and/or claims processing background preferred • Strong consideration will be given to bilingual applicants (Spanish/English)

 

The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.

Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.

Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.