Service Center Representative

Company: Apidel Technologies
Location: Bethesda
Posted on: March 12, 2023

Job Description:

Description:
To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.
Job Description
PRIMARY PURPOSE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
Assigns new claims to the appropriate claim's handler.
Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
Attendance during scheduled work hours is required.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).

Requirements:
Possible for an extension. Position will be Remote - East Coast Hours observed working 9AM-6:30PM ET
Please review attachments on req for "Work from home criteria " and detailed Description. Supplier partners MUST confirm that candidates meet the work from home.
MUST BE ABLE TO WORK EITHER:

BG CHECK PACAKGE - STERLING MANAGED CARE ADVISORS PACKAGE
PLEASE SEE ATTCHED MCA Minimum IT Requirement for candidates as a pre-screen also they need to be tech savvy please note what knowledge level they have, would you please have the agency screen the candidates by asking "How would you rate your knowledge of the Microsoft Office products? beginner, intermediate, or advanced
QUALIFICATIONS -
Education & Licensing
High school diploma or GED required. College courses preferred
Experience
Call center experience with preferably medical knowledge or medical bill/claims processing knowledge would be helpful experience
One (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.
Skills & Knowledge
Knowledge of medical terminology
Understanding of claims management
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to multitask in fast paced environment
Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
Ability to work in a team environment and/or independently
Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Keywords: Apidel Technologies, Bethesda , Service Center Representative, Sales , Bethesda, Maryland