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 Atlanta, GA
View more jobs in Georgia

Job Details

Lead Customer Service Representative

Company name
Centene Corporation

Location
Atlanta, GA

Apply for this job






1 hit(s)  

Profile

Lead Customer Service Representative(Job Number: 1077372)Description Position Purpose: Serve as a liaison between Customer Service Representatives CSRs), management and other various departments. Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Investigate and resolve complex claims matters in coordination with health plan and/or corporate departmentsCoordinate the day-to-day work functions, acting as a go to person and investigating and resolving complex issuesInitiate change requests to resolve system configuration questions impacting claims processing; review and test resultsConduct appropriate auditing processesReference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status mattersEducate members and/or providers on health plan initiatives; train and assist providers regarding proper claims billing proceduresProvide first call resolution and own the process by working with appropriate internal/external resources and ensure the closure of all inquiriesDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) applicationIdentify trends related to member and/or provider inquiries to respond proactively and provide feedback to managementCollaborate with other departments on cross functional tasks and projects Maintain performance and quality standards based on established call center metrics including turn-around timesQualifications Education/Experience: High school diploma or equivalent. Associate’s degree and claims processing, billing and/or coding experience preferred. 2 years of experience in Medicare, Medicaid managed care or insurance environment preferred. 4 years of customer service experience in a call center environment. Knowledge of managed care software systems (i.e.: CRM, Amisys, TruCare, etc.) preferred. Depending on the state, bi-lingual may be preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Company info

Centene Corporation
Website : http://www.centene.com

Company Profile
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations

Similar Jobs:
Transportation Clerk
location Duluth, GA
Description: Position Summary: A Penske Logistics Customer Service Associate monitors delivery schedules to assure timely delivery of materials and products to customer locations. Manage time sensitive information and trans...
Customer Service Representative II
location Atlanta, GA
Customer Service Representative II(Job Number: 1077374)Description Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer esca...
Entry Level Marketing & Advertising PositionsWe are a consistently growing company providing marketing, advertising and consulting services to industry leaders. Our diverse client portfolio includes top brands in technology, mobil...
I was very pleased with the CallCenterCrossing. I found a great position within a short amount of time … I definitely recommend this to anyone looking for a better opportunity.
Jose M - Santa Cruz, CA
  • 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. 169