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Customer Service Representative
MagnaCare Melville, NY
Apply
$44k-56k (estimate)
Full Time 5 Days Ago
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MagnaCare is Hiring a Customer Service Representative Near Melville, NY

About The Role MagnaCare is seeking Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals.
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.
Primary Responsibilities • Listen attentively to customer needs and concerns; demonstrate empathy and offer solutions.
• Confirm customer understanding of the solution and provide additional customer education as needed.
• Prepare complete and accurate work and update customer file.
• Contribute ideas on ways to resolve problems to better serve the customer and/or improve productivity.
• Offer solutions to issues that are often non-standard/non-routine and require some clarification.
• Perform other call center functions and support projects as directed by the management.
• Balancing the demands of the caller with requirements for quality, average handle time, and productivity.
• Use appropriate verbiage and level of detail to formulate and adapt the response to the level of understanding the caller has about the MagnaCare processes and specific plan details.
• Proactively educate the caller and validate understanding before completing the call.
• Effectively transfer misdirected customer requests to an appropriate party.
Essential Qualifications • High School diploma, some college education a plus.
• Knowledge of basic computer skills.
• Intermediate knowledge of Microsoft Office and email writing.
• Knowledge of CPT codes, ICD-9. Ability to learn quickly.
• Courteous with strong customer service orientation.
• Dependable with proficient attention to detail.
• Good listening and responding skills.
• Must be flexible with the ability to adapt to changes quickly and think conceptually.
• Solid problem-solving skills.
• Excellent attendance, punctuality and work record required.
About

At MagnaCare, our goal is simple: uncomplicate the administration of healthcare benefits. For more than 30 years, we’ve done just that, serving everyone from Labor and Taft-Hartley Fund health plans to self-funded employers. Through innovative technology and a solutions mindset, we’re able to stay nimble and flexible in ways big insurers simply can’t. And it’s how we can help control costs and elevate health outcomes for members, too. MagnaCare is a division of Brighton Health Plan Solutions, LLC.

*We are an Equal Opportunity Employer Annual Salary: $42,705 JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to:recruiting@brightonhps.com

Job Summary

JOB TYPE

Full Time

SALARY

$44k-56k (estimate)

POST DATE

06/25/2024

EXPIRATION DATE

07/14/2024

WEBSITE

magnacare.com

HEADQUARTERS

MELVILLE, NY

SIZE

200 - 500

FOUNDED

1990

REVENUE

$10M - $50M

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About MagnaCare

For 30 years, MagnaCare, a division of Brighton Health Plan Solutions, has helped organizations in New York, New Jersey, and Connecticut take control of their health care costs and give their members access to high value care. As a medium-sized, local administrative services organization (ASO), we make it a point to treat each customer with our one-of-a-kind personal touch. MagnaCares wide range of products and services meet the needs of Taft-Hartley Funds, employers and other self-insured plan sponsors, TPAs, carriers, and workers compensation and no-fault payors. Through our deep discounts, ...innovative health care solutions, and uncommon flexibility, we help our customers control health care costs, improve health, and achieve exceptional value for their organizations and their members. More
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The following is the career advancement route for Customer Service Representative positions, which can be used as a reference in future career path planning. As a Customer Service Representative, it can be promoted into senior positions as a Customer Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Representative. You can explore the career advancement for a Customer Service Representative below and select your interested title to get hiring information.

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