12 Customer Service Representative, MercyCare Insurance Jobs in Janesville, WI
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Customer Service Representative, MercyCare Insurance
$39k-49k (estimate)
Full Time
3 Weeks Ago
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Mercyhealth Wisconsin and Illinois is Hiring a Customer Service Representative, MercyCare Insurance Near Janesville, WI
Overview
Responsibilities
Special Physicial Demands While performing the duties of this Job, the employee is regularly required to sit, talk and hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. Specific vision abilities required by this job include close vision, peripheral vision and ability to adjust focus. The employee is occasionally exerting up to 20 pounds of force. Must use a computer, keyboard, mouse and specific computer programs as required.
Culture of Excellence Behavior Expectations
- Representative Member Services, MercyCare Customer Service, Days, 80 Hrs / 2 wks
- Location: MercyCare Bldg; Janesville, WI
Responsibilities
- Responds to all incoming telephone calls.
- Resolves all inquiries in a professional manner consistent with the mission of the health system.
- Assist callers with complaints, appeals, grievances and IRO requests.
- Attend seminars/training sessions.
- Add membership to the PBM software
- Add authorizations to the PBM software
- Processing all prescription claims (DMR) through the PBM software
- Respond to 100%of overflow phone calls by the time standards for A.M. and P.M. messages
- Send out delays letters for all complaints within time standards established
- Assist in the training of employees.
- Responsible for resolving complaints within the time standards of the applicable SOP.
- Responsible for completion of all customer service functions without close supervision.
Special Physicial Demands While performing the duties of this Job, the employee is regularly required to sit, talk and hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. Specific vision abilities required by this job include close vision, peripheral vision and ability to adjust focus. The employee is occasionally exerting up to 20 pounds of force. Must use a computer, keyboard, mouse and specific computer programs as required.
Culture of Excellence Behavior Expectations
Job Summary
JOB TYPE
Full Time
SALARY
$39k-49k (estimate)
POST DATE
06/02/2024
EXPIRATION DATE
06/17/2024
Show more
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