Customer Services Representative

Capital Staffing Solutions

New York, NY

JOB DETAILS
SALARY
$21 Per Hour
JOB TYPE
Contractor
SKILLS
Customer Support/Service, Documentation, Primary Care, Telephone Skills
QUALIFICATIONS
  • Bilingual (English/Spanish)
  • Call Center experience
  • High School graduation or evidence of having satisfactory passed a High School Equivalency Program; and
  • Minimum 1 year experience in a call center environment; or
  • A satisfactory equivalent combination of education, training, and experience.
  • Proven experience in providing excellent service to customers in various healthcare related areas, (i.e., insurance, doctor’s office, medical clinics).
  • Poise under pressure when dealing with difficult situations and potentially upset customers.
  • Ability to work in a fast-paced environment while keeping a high attention to detail.
RESPONSIBILITIES
  • Strive for first-call resolution by working to resolve member and provider issues as the primary point of contact.
  • Utilize dual monitors and computer-based resources to research information and provide accurate responses to customer questions.
  • Research and respond to customer inquiries related to eligibility, benefits/services, claims, and authorizations.
  • Classify and document all customer interactions clearly and concisely.
  • Identify, escalate, and follow up on complex issues through resolution.
  • Identify and intake customer complaints while capturing all pertinent information.
  • Assist members with PCP selection and locating providers and vendors within the plan’s network.
  • Verify and update member demographic information.
  • Process requests for member materials, including ID cards, member guides, provider directories, and other plan documents.
  • Handle enrollment inquiries and generate sales leads.
  • Process disenrollment requests and proactively conduct retention efforts.
  • Perform outreach related to New Member Orientation and PCP term/reassignment projects.
  • Process premium payments.
  • Perform other duties and special projects as assigned by the Director of Customer Service.
BENEFITS
Medical, Dental, Vision
LOCATION
New York, NY
POSTED
Today

Customer Service Representatives (CSRs) are responsible for providing comprehensive high-quality service to all customers. The primary responsibilities, include but are not limited to, answering customer calls, proactively working to resolve our members and providers questions and concerns, responding to and documenting all customer encounters, intaking complaints, conducting outreach and retention efforts, assisting with Primary Care Provider (PCP) selections and handling all provider inquiries related to eligibility, claims and authorizations.

About the Company

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Capital Staffing Solutions

We provide local and national coverage for the following sectors – Corporate Professionals, Administrative/Clerical Support , Information Technology, Healthcare, Insurance, Scientific, Engineering & Industrial. We partner with our clients to identify and hire top talent quickly and effectively – guaranteeing the quality of our service and quality of our candidates. Every consultant we place completes a prescreening process that includes onsite interviews, skills assessments, and background and reference checks. Our clients know they can count on our talented team's ability to locate, recruit, and screen excellent candidates so they can concentrate on running their business.

INDUSTRY
Staffing/Employment Agencies