: Customer Service Representative

Houston, United StatesOn-SitePart-timePosted 4w ago

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Job description

To increase satisfaction, retention, and growth by efficiently delivering competitive services to members or providers through a fully-integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes.

Handle customer service inquiries and problems via telephone, internet and, or written correspondence in a professional courteous manner. Quickly read and reinterpret information to caller(s) in a manner that meets their level of comprehension with or without scripts.

Experience in a production environment or a transaction based environment such as a call center or like setting in behavioral or medical healthcare is preferred.

Customer Service experiences is required

Answers questions and resolves issues based on phone calls/letters from members, providers, and internal customers.

Documents and tracks contacts with members, providers and internal customers appropriately.

Is vigilant in identifying possible compliance/ethics issues and reports any concerns to manager/supervisor, Medicaid Compliance Officer, internal legal counsel or Alert Line.

Handles customer service inquiries and problems via telephone, internet or written correspondence.

Customer inquiries are related to but not limited to health care claims, eligibility, authorizations, appeals and disputes, contracting, web portal inquiries, etc.

Job details are sourced from the employer's original posting.

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About the company

Integrated Resources INC

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

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Industry: Staffing
Founded: 1996
Open roles: 2471