Experienced Customer Service Representatives - Austin, TX
Kelly Services is currently recruiting for Delivery Execution Management Specialists for our client, one of the world’s leading innovative technology companies, at its location in Austin, Texas.
This is a 1-year contract starting ASAP and pays $24.00 per hour.
The Delivery Execution Management Specialist will be responsible for managing all aspects of shipping investigations including interacting with carriers, internal lines of business, and follow-up services. Investigations may have varying degrees of complexity.
This will be a position in the Americas Delivery Execution Management division. This is an analyst/customer service role environment and is very fast paced supporting the various carrier investigations and internal groups.
Standard shipping inquiries (SI’s) include delivery status, tracking and tracing shipments as well as other carrier and warehouse receiving and shipping issues.
Skills and Qualifications:
• 2-4 years’ experience with a High School Diploma or equivalent. Or a BA/BS with 1-2 years of experience in Business Analyst and/or Customer Service Support.
• Excellent customer service skills & experience. Must have excellent relationship-building skills for carriers, sales and other internal organizations.
• High volume data entry. Typing skills (min 30 words per minute) and 10-key.
• Solid mathematical skills (requirement for pricing adjustments).
• Excellent verbal & written communication skills.
• Complex problem solving capacity.
• Strong organizational capabilities.
• Attention to detail, follow-through and ability to effectively multi-task.
• Ability to work cross functionally with a team approach to accomplishing goals.
The Customer Service Utilization Management Representative will be responsible for coordinating Healthcare Insurance cases for precertification and prior authorization review.
Managing incoming calls or incoming post services claims work.
Determines contract and benefit eligibility plus provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
Refers cases requiring clinical review to a Nurse reviewer.
Responsible for the identification and data entry of referral requests into the system in accordance with the plan certificate.
Responds to telephone and written inquiries from clients, providers and in-house departments.
Conducts clinical screening process.
Authorizes initial set of sessions to provider.
Checks benefits for facility based treatment.
Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
High School diploma or equivalent.
1 year of customer service or call-center experience.
Strong computer and documentation skills required.
Proficient analytical, written and oral communication skills.
Medical terminology training and experience in medical or insurance field preferred.
Responsibilities may include the following and other duties may be assigned.
Handles high volume inbound calls from 1-800 switchboard.
Identifies problem, troubleshoots, and provides advice to assist callers.
Understands the company's structure and how to direct the calls to the appropriate area.
High School diploma or GED.
Min 3 years of related customer service and office experience or any combination of education and experience, which would provide an equivalent background.
Basic computer skills in MS Office Suite Software.
The Agency Service Representative is responsible for providing advanced customer service support to brokers selling company products via telephone or written communication.
Assists agents and brokers via telephone or written communication.
Responds to inquiries involving commissions, legislation, product information and policies plus procedures for Individual, Small Group, Dental and Life.
Will be expected to average a certain number of phone calls per representative per week, average pieces of correspondence to be processed per day.
Coordinates mailings and fulfillment requests.
Assists in broker road shows and provides reports to brokers.
Works on special projects as assigned.
Must have a High school diploma or equivalent.
1 year of Customer Service Call Center is require experience.
Previous health insurance industry experience preferred.
Advanced benefits, claims processing or membership knowledge preferred.
Strong computer skills plus good communications skills.
Excellent attention to detail, organized and the ability to multi-task.
Danvers, MA - 01923
Estimated Start Date: ASAP
Length of contract: 1 year
Pay Rate: $16/hour
Account/Customer: Sage Software
The Customer Service Representative will be responsible for receiving and placing telephone calls to assist with patient and doctor office inquires.
Handle approximately 50 to 60 phone calls daily in reference to prescription re-orders plus make follow up phone calls or emails if necessary.
Maintain solid customer relationships by handling their questions and concerns with speed plus professionalism.
Must document all calls and evaluate each account to determine if further research is necessary.
Responsible for providing excellent service to the customer in an accurate, efficient, and professional manner.
High School diploma or equivalent.
Must have 2 years customer service experience or a college degree.
Good communication skills plus strong typing, good computer and documenting skills.
Demonstrated ability to listen effectively and multi-task.
Requires close attention to accuracy, performs independently, subject to practices and procedures.
Required to meet productivity standards as set forth by the management team and identify and report trends in call drivers to management.
Respond to customer telephone inquiries within a call center environment
Proficient problem-solving approach to quickly determine customer needs
Provide resolutions by delivering accurate information while following performance goals and objectives
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Conduct follow up calls with customers to provide updates and ensure issue has been resolved in its entirety
Minimum Skill Requirements:
High school diploma or equivalent
1 year call center experience
Ability to prioritize and multitask
Proven ability to learn quickly and adapt to change
PC navigation and data entry skills
Good oral and written communication skills
Knowledge of medical terminology
customer service Insurance experience would be a plus Call center experience would be a plus MD office experience would be a plusPOSITION SUMMARY:Under general direction of an Operations Manager, responsible for providing well defined services to patients, providers and caregivers. Team members will work interactively with patients and their healthcare providers to complete enrollment activities, answer basic program inquiries, and help coordinate access to therapies through the patients healthcare provider.PRIMARY DUTIES AND RESPONSIBILITIES:1. Depending on the program specific contracted services an associate may perform one or more of the following activities:a. Inbound Phone Queue/General Program Inquiresb. Determination for support programs Copay, PAP, Medicaid, etc. c. Pharmacy triage and coordinationd. Order processing for wholesale orderse. Other follow-up activities missing info, prior authorization
The Bilingual Spanish Customer Care Representatives will be handling inbound calls to assist with all aspects of customer service, claims and membership.
Pay Rate: $16 per hour
Working Hours: Must be flexible to work any 8 hour shift between 8:00 AM and 8:00 PM Monday through Friday.
Duration: Contract Job with Possibility of a Full-time Hire with Company
Performs research and analysis, advocating on behalf of customers through whole case methods.
Learns to provide full service to members, providers, group administrators, and brokers by processing health care claims, handling inquiries, and/or performing membership functions.
Receives inbound telephone calls or paper and electronic claims from members and providers.
Resolves issues for members, providers, group administrators and brokers.
Analyzes the situation and completes research to ensure no rework or follow-up issues.
Applies knowledge of policies and procedures, products, legislation and claims workflow.
Interacts with systems to ensure claims are paid or denied based on terms of contract.
Requires a High School diploma or equivalent.
Must be Bilingual Spanish to be considered for the job.
1 + years of Customer Service experience.
Demonstrated ability to listen effectively.
Ability to use probing skills to obtain relevant information and establish rapport quickly with customers.
Good computer skills including proficient with Microsoft Word, Excel and Outlook.
As a Benefits Verification Specialist with Kelly Services, you will be responsible for customer service and case management as well as answering basic clinical and program inquiries.
Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance companies to verify patient specific benefits for program the client administer. The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage.
PRIMARY DUTIES AND RESPONSIBILITIES:
1. Reviews all patient insurance information needed to complete the benefit verification process.
2. Triages cases with missing information to appropriate program associate.
3. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
4. Identifies any restrictions and details on how to expedite patient access.
5. Could include documenting and initiating prior authorization process, claims appeals, etc.
6. Completes quality review of work as part of finalizing product.
7. Reports any reimbursement trends/delays to management.
8. Performs related duties and special projects as assigned.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education. Two years (2) + years directly related and progressively responsible experience required. A two-year degree can be used in lieu of 2 years of the experience requirement.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
1. Proficient Windows based experience including fundamentals of data entry/typing
2. Working knowledge of Outlook, Word, and Excel
3. Strong interpersonal skills and professionalism
4. Independent problem solver, good decision maker, and robust analytical skills
5. Strong attention to detail
6. Effective written and verbal communication
7. Familiarity with verification of insurance benefits preferred
8. Attention to detail, flexibility, and the ability to adapt to changing work situations.
9. Strong customer service experience