Call Center Representative Health Plan-Work From Home Albuquerque, NM
Presbyterian Healthcare Services · Centralia, WA
Job description
Location: 9521 San Mateo NE Albuquerque, NM 87113-2237Compensation: Minimum $16.79, Maximum $24.95Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team.ResponsibilitiesProvide customer service for members and providers in all PHP benefit plans.Ensure callers receive service excellence when responding to telephone, written, Pres Online, E-Business, chat and in-person inquiries.QualificationsHigh school diploma or GEDOne year office/business experienceCall center experience preferredClaims processing experience in managed care with possible enrollment experience is preferredDemonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff. Written communication skills as well as business writing and presentation skills are required.Requires strong organizational skills, ability to create, sort, and analyze reports (Excel, Access, etc.) and system processes.Knowledge of reimbursement methodologies such as DRG, Relative Value Systems, Per Diem, Fee schedule, Capitation, etc., and some knowledge of risk sharing programs helpful.Some knowledge of CRM and Facets, as well as any other databases that may be used PHS enterprise wide.Demonstrated ability to function effectively as a team member and retain plan details and basic medical terminology.Must be able to work cooperatively with other employees and function under pressure, sustaining quality standards. Must be able to prove ability to type 30 wpm with 90% accuracy.Benefits (for eligible employees only): Medical, dental, vision, short-term and long-term disability, group term life insurance, and other optional voluntary benefits.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.#J-18808-Ljbffr
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