Customer Service Representative

Industry

Insurance

Advert ID

USA_604984

Location

Menomonee Falls

Job Type

Contract

Hours

Full-Time

Salary Range

USD16-18/hr

No. of Openings

1

Branch Information

Wauwatosa, WI - (USA) 823 North Mayfair Road WI Wauwatosa , WI 53226

ContactNumber

414-475-5252

Job Description

Manpower is hiring a Customer Service Representative for one of our top clients in Menomonee Falls! $16-$18/ hour. 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