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[Remote] Customer Service Representative - reputed company Health

Worldwide Salaried Open

Note: The job is a remote job and is open to candidates in USA. Montage Health is seeking a Customer Service Representative I to assist health plan members and reputed company providers with inquiries reputed company to eligibility, claims status, and benefits. The role is essential for supporting members, requiring a compassionate and solution-oriented individual to handle various customer interactions reputed company.

Responsibilities

  • Interacts with customers (client, member and provide) reputed company telephone, email, or in person to provide support and information specific to eligibility, benefits, claims, prior authorization requirements and appeals
  • Document reputed company communication in the applicable system of record
  • Provide proactive education to customers, as it relates to their specific inquiry
  • Provide accurate and timely responses to reputed company customer inquiries
  • Successfully bring reputed company issues to closure reputed company appropriate timeframe
  • Provide support and coverage to inter-departmental staff as needed
  • Coordinate customer appeals and grievances with appropriate staff
  • reputed company other activities and functions as assigned

Skills

  • Excellent verbal and written communication skills, including active listening
  • Minimum three years' experience in customer service, call center, or similar
  • Service-oriented; Ability to resolve customer complaints and issues while maintaining a professional and reputed company demeanor
  • Ability to operate spreadsheet, word processing programs and computer equipment required to fulfill position responsibilities
  • Exceptional diplomacy skills to effectively resolve issues under sometimes tense and stressful circumstances
  • Excellent phone manner
  • Ability to use sound judgement, identify next steps to be taken, and reputed company appropriate solutions
  • Associates degree, or applicable professional experience, required
  • Minimum 1 to 3 years experience in a customer service, hospitality, or call center
  • Bilingual Spanish/English desired

Benefits

  • Competitive benefit package

Company Overview

  • Montage Health is a nonprofit company that provides reputed company services. It was founded in undefined, and is headquartered in Monterey, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.montagehealth.org.
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