Customer Care Associates are compassionate and dedicated professionals with exceptional listening skills who assist our members in navigating the healthcare system. Receives member?s pre-service requests on the toll-free number, determines needs, gets demographic information, and directs to the proper area of responsibility if it is symptom-related or post-service request.
Assist members and their families with basic healthcare questions and helps them to understand and utilize their health insurance benefits coverage. Handle routine to moderate issues with regular supervision such as answering member questions, dealing with irate members, and assisting other departments with their member cases. Regular contact with members, physician office receptionist, and insurance carrier customer service representatives.
BSW with customer service experience, preferably in healthcare. Telephone triage experience helpful. Ability to work as part of a team. Ability to educate callers. Strong listening skills and empathy. Ability to ask open-ended questions and uncover information. Effective communication skills to interact with members, physicians, and insurance carrier representatives. Attention to detail and strong documentation skills. Proficient computer skills (Microsoft Office, Excel, Outlook, Adobe PDF, Internet Searches)
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