Detail of : Call Center Representative Warwick RI Job Opening in Warwick
Call Center Representative - Warwick - RI
Customer service professional responsible for answering claims and eligibility related questions from physicians, hospitals and other medical providers that participate in Rhode Island Medicaid. Additionally, providing updates to members on Benefit Plan Choice Selection. Answering the customer inquiries to ensure processing is in accordance to billing procedures. Follow up with supervisor and/or provider representatives on more complex, non-routine customer inquiries, including member requests and concerns. Responsible for follow up and call resolution including call backs and closing call references. Excellent verbal communication skills required. Previous medical or medical billing experience is a plus, but not necessary.
Answer inbound calls from the Rhode Island Medicaid provider network. Providing excellent oral communications with quality customer service. Follow through on responding and resolving all calls.
Answer inbound calls from Rhode Island Medicaid members choosing a plan benefit.
Address billing and eligibility questions and commit to follow up necessary to resolve.
Create and manage call logs. Proving excellent written communications.
Provide excellent customer service to include offering added assistance as appropriate. This Includes becoming familiar with web service offerings in order to direct a provider to these offerings.
Update various requests on member related Managed Care enrollments maintaining daily call log and spreadsheet on member choice.
Update spreadsheet to notify Financial on further action to pay or recoup plans cancelled or added.
Education and Experience:
Minimum of a high school diploma or GED.
Previous customer service experience in a professional setting.
Knowledge and Skills:
Two years or more of customer service experience, either face-to-face or by phone.
Good typing skills and computer skills
Experienced PC Skills using Microsoft Office products, Word, Excel and Outlook, including Avaya AAAD phone applications.
Maintain Outlook schedules and maintain passcodes timely (prior to expiration) for various/several applications such as corporate secure access, production environments and phone applications.
Excellent verbal communication and Customer Service skills
Office environment M-F 8:00am-5:00pm
Job Type: Full-time
Pay: $1.00 per hour
Employee assistance program
Flexible spending account
Paid time off
8 hour shift
Monday to Friday
Ability to commute/relocate:
Warwick, RI 02886: Reliably commute or planning to relocate before starting work (Required)
High school or equivalent (Required)
Temporarily due to COVID-19
Should you are interested and qualified, please apply in confidence by filling online application form at :
All applications will be treated confidentially.
Only shortlisted candidate will be proceed on the next step.
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