Customer Service Representative I - Call Center

The Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence ensuring adherence to contractual and state guidelines as well as client instructions. 

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Answer phone calls, return phone calls
• Answer emails from clients, providers and internal referring offices
• Review previous history of the provider in MedCheck, Scheck and SalesCloud
• Consult with Supervisor or other departments to clarify answers to inquiries
• Contact provider to discuss findings at the appropriate level
• Maintain reports and spreadsheets as needed
• Requires punctual and consistent attendance
• Additional duties as assigned

KNOWLEDGE & SKILLS:

• Knowledge of Workers Compensation fee schedules and regulations
• Effective verbal and written communication skills
• Good organizational skills and ability to multitask
• Detail oriented
• Proficiency with Microsoft applications
• Medical terminology and coding knowledge

EDUCATION & EXPERIENCE:

• High school diploma or equivalent
• Customer service experience working in the Managed Care and Benefit Administration industries