CSR / Enrollment Rep

Daily Responsibilities:

• Responds to member and provider inquiries (phone written or walk in) regarding all aspects of business including claims in a professional timely accurate and caring manner while consistently meeting all guidelines.

• Responds to member provider and other inquiries via telephone correspondence or lobby walk-in while meeting all corporate guidelines and performance standards

• Demonstrates appropriate customer-care skills such as empathy active listening courtesy politeness helpfulness and other skills as identified

• Records investigates and resolves member complaints as detailed in the Grievance Procedure narrative

• Assists in the education of new members and in the re-education of existing members regarding health plan procedures

• Logs tracks and appropriately documents all issues utilizing on-line systems and procedures and in accordance with all applicable guidelines and requirements

• Makes decisions that are consistent with the concept of a win-win-win for members associates

• Demonstrates based behaviors such as initiative accountability and value

• Performs skills necessary to create a high-quality customer experience as reflected through acceptable C-Sat scores quality monitors and member feedback

• Performs other duties as assigned.

• A High School or GED Required---or equivalent work experience Required

• 6 months of experience in call center or customer service (healthcare)

• Preferred experience from managed care with experience with Medicare Enrollment/Pharmacy

Shift Schedule: 

Flexible on shifting schedule (must be able to work ANY shift between 7am and 8pm and on the weekends)

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

• Please reach out to Maria Ana Viar at (321) 445-8005.

• Apply now for immediate consideration. We are looking to fill this position immediately!