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Employelevate Member Service Representative - Seasonal - Work

Remote · Australia Full-time

Now hiring at employelevate for a Member Service Representative - Seasonal - Work From Home! Based in Remote, this role is available for an immediate start. This position requires a strong skillset in relevant areas. The compensation for this role is Competitive salary. GlowTouch, a UnifyCX company, is growing and we are expanding! We are looking for experienced Seasonal Member Service Representatives to join our motivated and ambitious Work From Home team. What Will You Do... As a Member Service Representative, you will be responsible for receiving, answering, and/or resolving calls. These phone calls are from insured customers and their dependents, providers and their staff, employer/group staff, and brokers. The Member Service Representative will use companies claims / eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. As a Member Service Representative, you are the primary source for issuing authorizations when eligible for services. Location: This position will be Work From Home; however, you must reside in the San Antonio, TX area to be considered In this position, you will: Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including:

  • Issuing authorizations
  • Handling claim inquiries from providers and members
  • Communicate the correct information regarding accessibility, claims status and other calls of a service nature
  • Providing benefits information
  • Process customer claims according to established department policies and procedures
  • Checking voicemail boxes and handling customer/provider requests for:
  • I.D. cards
  • Authorizations
  • Customer Service questions and issues
  • Fulfill rapid call volume by handling the appropriate amount of incoming calls
  • Complete Provider Relations requests for service
  • Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns
  • Partner with Sales and Provider Relations to meet and exceed customers’ expectations
  • Provide excellent customer service and handle all customers in a professional and courteous manner
  • Other duties as assigned

Who You Are: To be considered, candidates are expected to have the following:

  • Two years customer service or call center experience
  • Two years of experience in the health care industry or insurance environment preferred
  • Strong computer and technical skills to support heavy key data entry
  • Excellent customer service skills (friendly, courteous and helpful)
  • Excellent interpersonal verbal and written communication skills
  • The ability to diffuse volatile situations, share information, and educate callers regardless of customers level of understanding
  • Understanding of the health insurance or insurance industries
  • Strong execution and follow-up skills
  • Goal oriented with ability to meet production standards
  • Team orientation and ability to work effectively across functional areas of the company.
  • Accurate and efficient data entry skills
  • Strong analytical skill and ability to demonstrate good judgment
  • Ability to coordinate multiple tasks and projects
  • Skilled in dealing with all customers in an efficient and effective manner
  • Bilingual skills helpful

Who We Are: GlowTouch is a Louisville-based company that provides personalized contact center, business processing, and technology outsourcing solutions. In nearly two decades of operations, we have grown from a few employees in a single location to global company with thousands of staff members who support an international clientele. “Putting People First” is not just a motto; it’s who we are and what we do. We value our employees, customers, and communities. We don’t hire for jobs; we help employees map out careers with us and have an enviable retention rate. Many clients have been with us for decades because we go beyond doing what is expected. A lot of companies talk of having a family atmosphere; we put those words into action. Education: High School Diploma or equivalent educational experience is required. Location: This position will be Work From Home; however, you must reside in the San Antonio, TX area to be considered Job Type: Seasonal (5-6 Months), with opportunity to extend. Hours: 8:00 am – 11:00 pm EST – 7 days a week. You will select an 8 hour schedule within this time frame. Benefits: GlowTouch offers a comprehensive benefits package that includes health, life, vision, and dental insurance, as well as a 4% max matching 401K, and other financial opportunity options. GlowTouch is a certified woman-owned business and an EOE employer who welcomes diversity Apply Job! Apply Job! Apply to this Job Apply To Th

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