Job Description
Manpower is hiring a Customer Service Representative for one of our top clients in Menomonee Falls! $15-$18/ hour. Hours: 11:30am-8:00pm. Must be able to attend classroom training, hours are 8:00am-4:30pm. Answer incoming member and provider calls in a timely and accurate manner to ensure questions and concerns are addressed. Ensure higher level concerns are directed to appropriate resources for assistance.
What's in it for you?
* TEMP-TO-HIRE
* Weekly pay
* Great opportunity with a great company!
Responsibilities:
* Service Dental, Medical, Vision and Physical Therapy members by communicating benefit information, providing information and resources necessary to understand benefit plan coverage, verify insurance coverage, and assist in locating providers.
* Service Dental, Medical, Vision and Physical Therapy providers by communicating benefits, authorizations, claims, and eligibility information.
* 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 updating eligibility, 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 of 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 internal systems while engaging with customer.
Requirements:
* High school diploma or equivalent.
* 1 -3 years of job related experience (heavy phone work, reception, call center etc.)
* Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and email.
* Ability to work an 8 hour shift between the hours of 6 am and 8 pm.
* Ability to work occasional overtime as needed.
* Strong customer service skills including active listening and ability to diffuse difficult situations.
* Strong data entry/typing skills
* Strong navigation skills and the ability to multi-task
Please submit your resume to be considered