Workforce Connections

Call Center/Customer Service - Healthcare

Workforce Connections Nashville, TN
Workforce Connections

Call Center/Customer Service - Healthcare

Workforce Connections Nashville, TN
5 months ago
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Job Title

Customer Service Representative

Contract Duration

6+ Months

Possible Contract to Hire

Pay Rate

$20-22/hrLocation:

Remote - Must reside in US

Work Hours

8-5 EST or

8:30-5:30 EST

1 hour for lunch

Qualifications/Skills Needed

  • 2-3 Years managed care setting, medical office or facility setting with demonstration of medical administration duties
  • Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment
  • Operation of office equipment such as a personal computer
  • Knowledge of medical terminology
  • Time management and organizational skills are a must
  • Excel skills are a must
  • Good communication skills required

Day To Day Responsibilities Of Role

  • Assist in activities related to the medical and psychological aspects of utilization and coordinated care
  • Outreach attempts via telephone to members assigned each day
  • Consistently updating an excel spreadsheet with member assignments listed
  • Consistent communication with supervisor
  • With each phone call- documentation is required in Virtual Health

Performance Expectations

  • Must be able to make high volume of outbound calls
  • Medical terminology
  • Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) – Please put on Resume.
  • Completing 80-120 phone calls a day to the Medicare Population
  • Compliance is required to be 100% of all assigned members
  • Engagement Rate will need to be at 80% or more a month
  • Time off is not permitted in the first 90 days of employment unless pre-planned during the interview
  • Audit score of a minimum of 90%
  • Completion of 600 members a month is required (30 new members daily assigned)

  • Seniority level

    Entry level

  • Employment type

    Full-time

  • Job function

    Other

  • Industries

    Mental Health Care, Wellness and Fitness Services, and Hospitals and Health Care

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