Customer Care Representative – Remote(2nd Shift) Job in SKYGEN USA

SKYGEN USA, Remote, Openings : 1, Experience : Not Specified
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Job Description :
Customer Care Representative – Remote
Do you see yourself working from home providing world class customer service?
Location: Remote
Call Center Hours: Monday through Friday 7AM to 8PM Central time
2nd shift hours: 10:30AM to 7PM Central time or 11:30AM to 8PM Central time
Pay: $17/hour & Up, additional pay of $2/hour on Mondays and Tuesdays
Paid training: 8AM – 4:30PM Central time – 3 weeks of classroom training and 3-4 weeks of on-the-job training
What will YOU be doing for us?
Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.
What is in it for YOU?
  • Career growth in an inclusive culture
  • Paid training
  • Health benefits
  • 401(k)
What will YOU be working on every day?
  • Servicing our Dental, Medical and Vision callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
  • Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
  • Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution.
  • Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information.
  • Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
  • Provide updates to providers with questions regarding the status of their credentialing application.
  • Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available.
  • Ensure all calls are answered according to company and client guidelines.
  • Accurately document call information and resolution in our internal systems.
  • Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported.
  • Properly identify issues that need to be escalated appropriately to the leadership team.
Additional Responsibilities:
  • Provide recommendations on system enhancements and process improvements to management.
  • Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues.
  • Participate in departmental projects when applicable.
What qualifications do YOU need to have to be GOOD candidate?
  • Required Level of Education, Licenses, and/or Certificates
    • High school diploma or equivalent.
  • Required Level of Experience
    • 1 -3 years of job related customer service experience (reception, call center, banking, retail)
  • Required Knowledge, Skills, and Abilities
    • Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook.
    • Ability to work occasional overtime as needed.
    • Excellent listening and communication skills
    • Superior customer service skills including the natural ability to provide empathy
    • Strong data entry/typing skills
    • Strong navigation skills and the ability to multi-task
    • Excellent attention to detail
    • Critical thinking skills to quickly analyze and clearly understand a specific request or customer need and then leverage knowledge and resources to provide the appropriate solutions.
Home Office Requirements:
  • Private, secure, distraction free workspace
  • Computer equipment will be provided by the company
  • Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that: (you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps
Be part of a team committed to a culture of Respect, Ownership, Innovation and Integrity
We offer exceptional professional growth opportunities; a casual, friendly work environment; and competitive wage and benefits
This opportunity is for US residents only.
Last Date For Apply: 11/Nov/2022 00:00:00 Job Type : Full Time, Employment Type : PermanentApply Here