Customer Care Agent

Customer Care Agent

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Staffmark is seeking friendly and energetic Call Center Agents to fill our customer care opening at a mid-sized call center in Northeast Austin!! The Customer Care Representative will be responsible for researching, troubleshooting, and providing resolutions to benefit inquiries from clients, members, providers, and pharmacies on all benefit topics. Training will be provided.

Training Hours: 8am-4:30 pm

Shift Availability: 10:30 AM - 7:30 PM

This is a great opportunity for an energetic agent who can work in a team environment to grow and maintain business while being in a fun rewarding environment.

Daily duties:

•Research and analyze claims using multi-layered benefit resources

•Troubleshoot to resolve issues - including research across systems and combining that information to determine correct resolution

•Communicate prior authorization, exceptions, and appeals processes

•Effectively communicate turn-around-times, status, eligibility, and other applicable details of benefits

•Act as pharmacy help desk to aid pharmacies in submitting claims

•Inform members on how to use their benefit (I.e. participating pharmacies, best utilization of their benefit, formulary explanations, patient pay amounts, benefit restrictions, and other information)

•Protect all personal health information and abide by all HIPAA regulations and confidentiality requirements

•Other duties as required

Essential Background Requirements:

•High School Diploma or equivalent

•Ability to prioritize and multi-task

•Ability to balance quality with speed

•Excellent critical thinking, problem-solving, and research skills

•Professional business acumen including attendance, policy adherence, attitude and behavior

•Drive to learn new skills and willingly share knowledge with others

•Affinity for delivering outstanding service

•Ability to work with a team to meet group goals and objectives

•Excellent communication skills - written, verbal/presentation and active listening

•Ability to navigate multiple systems efficiently and effectively on each contact

If you fit the needs above please reply with resume to be contacted for an on-site interview.