Note: The job is a remote job and is open to candidates in USA. Brighton Health Plan Solutions is a healthcare enablement company that provides health plan administration services and supports improved access to and delivery of healthcare. The Customer Service Representative assists members, physicians, hospitals, and other healthcare providers with benefits, eligibility, appeals, and related inquiries while handling high-volume calls and supporting customer satisfaction.
Responsibilities
- Handle inbound calls from members, medical providers, and others
- Listen to and address customer needs and concerns empathetically
- Answer questions about, network participation
- Ensure first contact resolution when possible
- Update customer files and communicate effectively with teams
- Transfer misdirected requests and offer solutions to non-routine issues
- Contribute to customer satisfaction and business improvement
- Collaborate with other team members
- Adapt responses to caller understanding
- Educate callers and validate their understanding
- Support projects and other departments as directed by management
Skills
- The successful candidate will have experience in a high-volume call center, experience with medical specialties, complaints and appeals and call center responsibilities
- Previous experience in a physician's office, group practice, clinic or hospital-basedpractices
- Basic computer operations knowledge
- Intermediate proficiency in Microsoft Office (Word, Excel, Access, PowerPoint, Outlook)
- Strong time management skills
- General knowledge of HIPAA Confidentiality laws
- Quick learner with ability to grasp managed care procedures
- Detail-oriented and dependable
- Effective listening and responding skills
- Flexible and adaptable to changes, with conceptual thinking
- Strong problem-solving abilities
- Excellent attendance and punctuality
- Comfortable performing tasks at a computer/telephone station
- Effective communication through various channels, including email, chat, and voice
- High School diploma with some college or business school education preferred
Benefits
- Remote role
- A diverse and welcoming culture focused on encouragement, respect, increasing diversity, inclusion, and a sense of belonging at every level
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