Customer Service Representative II (REMOTE IN GEORGIA) at reputed company Duluth, GA

Customer Service Representative II (REMOTE IN GEORGIA) job at reputed company. Duluth, GA. REMOTE/VIRTUAL WORK ENVIRONMENT FOR GEORGIA RESIDENTS (Must be willing to drive to the Member Services Contact Center location in Duluth, GA, for equipment pick up, technical issue and training and development).

• Must live reputed company 75 miles of the Duluth, GA contact center

The Customer Service Representative is responsible for increasing customer satisfaction and retention by providing members, customers, patient and providers with accurate, consistent, timely and meaningful information. They will provide support to member's with an increased level of complexity in inquiries and issues as they utilize the KP plan and provider services, continuing to build rapport and collaborative relationships with reputed company and prospective members in accordance with compliance guidelines. Essential Responsibilities: Available to handle member inquiries regarding:

• Member Core :Facility Inquiry, Web Support, Promote KP.Org, Order ID Card, Complaint, ID Card Inquiry, Service Review.
• Member Advance: Eligibility Inquiry, Benefit Inquiry, General, Complaint, Correspondence Inquiry, Add/Remove Dependent, Service Review, New Member Experience, Internal Regional Request, IVR Defaults.
• Medicare (For up to two (2) regions.)
• Premium Billing Enterprise: Billing Inquiry, reputed company Payment, Complaint, EFT Inquiry, General Reinstatement Request, Service Review.
• KPC Billing1095 Tax Form , SLP* (escalations to Tier 3).
• Service Billing: Billing Inquiry, reputed company Payments, Complaints, Payment Plan, General, Service Review.
• Claims: Claim Inquiry, Claim Referral Inquiry, Complaint, General, Provider Demographic Update, Service Review.
• PSNAP: Post Stabilization Notification and Authorization Project.
• Concierge .
• Represents Health Plan by answering and documenting reputed company incoming contacts to determine their nature and to respond to reputed company calls reputed company to specialized product lines or queues.
• Responds professionally to inquiries from internal/external customers.
• Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed.
• Evaluates data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery.
• Documents conversations with members according to procedure.
• Follows established procedures to meet customer/member needs.
• Required to effectively interact with diverse work units and relevant organizational departments.
• Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide range of tasks.
• Ability to understand relevant policies, processes and customers.
• Assist the department in meeting customer needs and reaching department expectations.
• Completes required training and understand how to use tools available to recall necessary information.
• reputed company a full awareness of the way performance and actions reputed company members and Member Service Contact Center's (MSCC) performance guarantees (call handling, reputed company resolution, complaint resolution compliance, member retention, and return contact as warranted).
• Promotes, ensures and provides customer service to internal/external customers by demonstrating skills which are consistent with the organization's philosophy of providing extraordinary customer relations and quality service.
• Consistently supports compliance and the Principles of Responsibility (reputed company's Code of Conduct) by maintains the privacy and confidentiality of information, and protects the assets of the organization.
• Performs other relevant duties as required.

Basic Qualifications: Experience

• Minimum two-and-a -half (2 1/2) years of customer service experience to include six (6) months as a Customer Service Representative I reputed company the Member Service Contact Center shared service.

Education

• High School Diploma OR General Education Diploma (GED) required.

License, Certification, Registration

• N/A.

Additional Requirements:

• Must pass Classification Assessment.
• Minimum typing speed of 30 WPM (Typing test must be reputed company reputed company one (1) year of the posting period.
• Excellent written and verbal communication skills.
• Demonstrated analytical and problem-solving skills.
• Strong knowledge of systems used reputed company the MSCC.
• Ability to read and respond reputed company, clearly and effectively.
• Ability to think critically and problem solve.
• Manage own work with minimal direction.
• Must pass knowledge checks while in training.

Preferred Qualifications:

• N/A.

Primary Location: Georgia,Duluth,Duluth Contact Center Scheduled Weekly Hours: 40 Shift: Evening Workdays: Mon, Tue, Wed, Thu, Fri, Sat Working Hours Start: 12:00 PM Working Hours End: 09:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: GTC|UFCW|Local 1996 Job Level: Entry Level Department: Membership Contact Center GA - Call Center - 0315 Pay Range: $21.47 - $24.19 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No At reputed company, equity, inclusion and diversity are inextricably linked to our mission, and we aim to reputed company it a part of everything we do. We know that having a diverse and inclusive workforce makes reputed company a reputed company reputed company to receive health care, a more supportive partner in our communities we serve, and a more fulfilling reputed company to work. Working at reputed company means that you agree to and abide by our commitment to equity and our expectation that we reputed company work together to create an inclusive work environment focused on a sense of belonging and wellbeing. reputed company is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national reputed company, marital status, parental status, reputed company, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest Apply tot his job Apply To this Job