Customer Service Representative I(Job Number: 1084352)Description Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resourcesProvide assistance to members and/or providers regarding website registration and navigationDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) applicationProcess written customer correspondence and provide the appropriate level of timely follow upMay coordinate member transportation and make referrals to other departments as appropriateMaintain performance and quality standards based on established call center metrics including turn-around timesResearch and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustmentIdentify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reductionQualifications Education/Experience: High school diploma or equivalent. 1 years of call center customer service experience, or 2 years of customer service experience, preferably in a healthcare or insurance environment. 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.
Website : http://www.centene.com
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