Paramount Health Care, a ProMedica Health Plan, offers insurance products across six Midwest states. This Ohio-based company, headquartered in Toledo, has more than 685 employees dedicated to serving their health plan members.

Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and families. Paramount maintains accreditation by the National Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products.

In addition, Paramount has a full complement of insurance products for employers of any size, including medical, dental, vision and workers' compensation, as well as vocational rehabilitation, life-care planning and wellness.

As a part of ProMedica, Paramount is driven by ProMedica's mission to improve your health and well-being. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount strives to provide an exceptional experience to every member. For more information about Paramount, please visit our website at paramounthealthcare.com.

REPORTING RELATIONSHIPS

Position reports to Team Lead and does not have any direct reports.

POSITION SUMMARY

The Call Center Specialist provides high-level customer service and effectively communicates with existing and prospective clients (dentists, members, agents, and employer groups) regarding claims, enrollment, and benefit service support.

ACCOUNTABILITIES

Manages multi-line phone system

Provides excellent customer service support by taking client information, and responding to questions regarding claims, enrollment, and benefits information.

Proactively seek solutions and problem-solve to resolve client issues relating to plan information, enrollment, and client material.

Responsible for communicating guidance and directions to assist members in navigating benefit information online including directing clients to company website to verify enrollment, benefit coverage, and how to submit claims/pretreatments.

Communicate website capabilities efficiently and innovatively.

Collaborate with other call center representative to improve customer service

Other duties as assigned.

REQUIRED QUALIFICATIONS

Education: High school diploma or equivalent

Skills: Must have excellent interpersonal skills necessary to communicate effectively with callers, members, physicians, and other providers. Experience using Microsoft Windows and Microsoft Office programs is required. Demonstrated typing competency (minimum of 40 wpm). Must possess good organizational and priority-setting skills and exercise independent judgment with minimal guidance and supervision. Team-oriented and self-motivated with the ability to effectively prioritize and execute tasks in a high-pressure environment.

Years of Experiences: One to two years of call center experience or comparable experience

License: NA

Certification: NA

PREFERRED QUALIFICATIONS

Education: High School Diploma or GED required

Skills:

Strong knowledgebase of dental billing office practices, including practice management computer system experience

Demonstrate knowledge of ADA/CDT coding regulations and requirements Basic knowledge of insurance regulations.

Fluent in Spanish Language

Years of Experience: Minimum of two years' experience in telephone sales or telephone-based customer service or comparable experience

License: NA

Certification: NA

WORKING CONDITIONS

Personal Protective Equipment: NA

Physical Demands:

Sitting for extended periods

Dexterity of hands and fingers to operate a computer keyboard, mouse, and phone for data entry

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace

**Requisition ID:** 82706