Job Description

Our company is hiring for a Customer Service Representative position in the West Chase area.  Monday-Friday  In-Office***  8am-5pm

 Paid training period!!!  Direct hires!!!

SUMMARY: Customer Service Representatives in the Member Services department address member inquiries, questions, and concerns in all areas including enrollment, claims, benefit interpretation. Responsible for receiving, responding to, and directing member phone calls and written requests. Being a Member Services Representative provides available information upon request and researches or escalates issues as appropriate. Maintains confidentiality per HIPAA guidelines.

PRIMARY RESPONSIBILITIES  Provide expertise or general customer service support by reviewing, researching, member inquiries.  Managing a high volume of highly escalated calls.  Deescalating calls from irate customers and retaining them.  Consistently meet established productivity, schedule adherence, and quality standards  Answers phone calls regarding provider search, existing claims, and member ID’s as needed.  Adheres to privacy and confidential and proprietary company policies and procedures (i.e.HIPAA).  Comfortable navigating across various computer systems to locate critical information  Attention to detail is critical to ensure accuracy and avoid financial loss to members and businesses  Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse

EDUCATION:  High School diploma or equivalency required

EXPERIENCE:  1+ years of customer services in sales and call center  Being bilingual is a plus  Experience using Microsoft Office to manage emails  Ability to multi-task, this includes the ability to understand multiple products and multiple levels of benefits within each product

REQUIREMENTS:  Must be able to successfully complete and fully grasp company provided training  Must be confident and knowledgeable in all business products and services  Strong presentation skills and interpersonal skills  Strong organizational and time management skills APPLY TODAY!!!

Company Description

Association Health Care Management, Inc. established in 1983 has always maintained our own TPA license, giving us an advantage when dealing with complex healthcare systems. With this, we have helped project managers, insurance companies, benefit providers, and associations develop and implement various healthcare solutions. Our goal is to provide powerful healthcare management solutions in a rapidly changing industry. We help leaders solve their organization’s most critical problems and opportunities. Together we create lasting change with significant results.