Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in California

Job Details

Eligibility Research Representative

Company name
Total Package Professional Services

Location
, CA

Apply for this job






3 hit(s)  

Profile

Statement of Overall Purpose or Job Objective

The primary function of this position is to research and resolve eligibility verification requests in an appropriate and timely manner.

*Researches and resolves member eligibility requests.

Eligibility Research Verification:

• Follows confidentiality guidelines to ensure security measures are enforced and proprietary information is protected.

• Verifies member eligibility from eligibility file, communications log, and health plan websites or by calling the health plan directly when all other resources are exhausted.

• Inputs and saves verified member's information into the communications log and/or member maintenance.

• Ensures the highest quality of customer service by maintaining a professional and courteous manner.

Customer Service Research:

• Processes research same day to ensure 24 hour tu

around time is met.

• Makes follow up calls same day to providers and members to give results of research.

• Transfers providers to provider queue if question is not related to eligibility.

• Transfers members to member queue if caller has detailed questions or wishes to file a complaint.

• Updates member and group records as needed.

Education/Training/Experience/Licenses

• High School diploma or equivalent.

• Minimum one year of experience with 10 key, typing, and computer skills. 8,000-10,000 key strokes per hour required.

• Excellent customer service skills, with experience making outbound calls and meeting expectations for productivity and accuracy required.

• Experience with claims processing or eligibility verification preferred.

Company info

Total Package Professional Services

Company Profile

Similar Jobs:
Customer Care Representative II
location Cerritos, CA
\n\nJob Description\nHiring for a Call Center Customer Care Representative Job in Cerritos California.  Job Description:\r\n 3-month Contract with a possibility for extension based on performance and fit.Strict Attendance (No more...
\n\nJob Description\nNow Hiring in the City of Alhambra, CA!!!Position: Member Services RepresentativePay: $16hrLength: Contract to HireLooking to review resumes and begin Interviewing ASAP HEALTH CARE & MEDICAL INDUSTRY REQUIREDE...
Claims Call Center Representative
location Los Angeles, CA
WHO WE ARE Does the idea of doing something that really makes a difference in people\u2019s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from ...
EmploymentCrossing was helpful in getting me a job. Interview calls started flowing in from day one and I got my dream offer soon after.
Jeremy E - Greenville, NC
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
CallCenterCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
CallCenterCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2018 CallCenterCrossing - All rights reserved. 168