What are the responsibilities and job description for the Customer Service Representative (Tallahassee Only) position at Media Riders Inc.?
Job Summary :
The Call Center Representative is a front-line service position aiding state benefit system members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers.
Responsibilities :
- Available to work scheduled work hours based on operational needs
- Accurately respond to inbound phone calls and processing provider and member inquiries
- Under general supervision, resolve customers' service or billing complaints by demonstrating sound judgement
- Contact customers to respond to complex inquiries or notify them of claim investigation results
- Refer unresolved customer grievances, appeals, and claim resolution to designated departments
- Keep records of customer interactions and transactions
- Actively listen and probe callers to determine the purpose of the calls
- Research and communicate information regarding member eligibility and claims status
- Assume responsibility for self-development and career progression
- Educate providers on how to submit claims and when / where to submit a treatment plan
- Perform necessary follow-up tasks to ensure member or provider needs are completely met.
- Support team members and participate in team activities
- Experience with Microsoft Word and Powerpoint
- 2 years of Call Center Experience
Must Have :
