Jobs in Customer-Service

Provider Claims Service Centre 12
Integrated Resources, Inc    02-18-2020 Houston, TX, USA


Job Title: Provider Claims Service Centre

Job Location: Houston, TX

Job Duration: 7 Months (Extension possibility)

Job timings: Mon to Fri 8.00AM to 5.00PM

                          Training Shift 7.30AM to 4.00PM

 

Position Summary:

Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors.

Duties:

  • Explains member's rights and responsibilities in accordance with contract.
  • Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system.
  • Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues.
  • Responds to requests received from Healthcare's Law Document Centre regarding litigation, lawsuits.
  • Handles extensive file review requests. Assists in preparation of complaint trend reports. Assists in compiling claim data for customer audits.
  • Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
  • Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management.
  • Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data maintenance as necessary.
  • Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.

 

Experience:

  • 2+ years' recent experience in a call centre production environment OR customer service experiences in a transaction-based environment with extensive inbound/outbound phone experience REQUIRED.
  • 1-year minimum experience with Medicaid/Medicare or Health Insurance also in high volume production environment
  • Provider Claims or Medical Billing experience
  • 2+ recent years in a High-Volume Call Centre experience.


Education:

  • High School Diploma or GED required. Associates degree in Business, Accounting or equivalent work experience preferred.

 

Customer Service/Dispatcher 228
Gillece Services    01-29-2020 Bridgeville, PA, USA

The selected candidate will have a dynamic phone presence, excellent problem solving and customer service skills, and a working knowledge of computer software.

Required:

  • Field incoming calls to increase sales & traffic for most efficient & effective services
  • Interview customers by phone to obtain all necessary info to provide the best service
  • Track sales and make regular reports
  • Handle customer complaints and customer concerns with billing or service
  • Dispatch Service Technicians to job sites
  • Handle Technician issues
  • Follow-up with customers to ensure on-time & satisfactory service
  • Excellent people skills
  • Self-motivated


    This position is located at our Headquarters in Bridgeville, PA

    MUST BE AVAILABLE TO WORK WEEKENDS and Holidays
    Interested? Reply to this posting with your resume or information.

 

Dispatchers 197
Gillece Services    01-24-2020 Bridgeville, PA, USA

Responsibilities

* Meet daily revenue and sold-hour goals by prioritizing the most urgent and profitable calls.
* Relay accurate information to technicians, ensuring proficient, quality customer experiences.
* Manage the whereabouts and needs of every technician in the field.
* Record the results of each service call and create report summaries for senior management.
* Be professional and establish customer rapport, encouraging repeat business.
* Respond to customer requests, resolving issues and promoting the brand.
* Participate in training to boost sales and ensure quick, accurate dispatch of incoming orders.
* Update customers throughout the day on the technician's progress.

Competencies for Success

* Develop a proven track record in the Dispatcher service.
* Dispatching Experience
* IT competent; good typist and proficient with phone systems.
* Highly organized with exceptional follow-through abilities.
* Strong verbal and written communications.
* Ability to build trust, diffuse conflict and hold others accountable.
* The personality that blends well with a fast-paced, goal-driven environment.
* A competitive individual contributor who also loves to win as a team.
* MUST BE AVAILABLE TO WORK WEEKENDS AND HOLIDAYS

Job Type: Full-time

Salary: $16.00 /hour

Customer Care Representative 92
Dalmat Engineering    01-24-2020 Victoria Island, Lagos, Nigeria

Responsibilities:

  1. Answering incoming customer calls regrading billing issues, services question and general client concern.
  2. Impact the company's bottom line by problem solving and turning frustrated clients into repeat customer.
  3. Work with the management team to stay updated and be informed of any changes in the company policies.
  4. Update customer information in the customer service database during and after each call.
  5. Provide Professional customer service.
Dispatcher Representatives 158
Gillece Services    01-23-2020 Washington, PA 15301, USA

The selected candidate will have a dynamic phone presence, excellent problem solving and customer service skills, and a working knowledge of computer software.

Required:

  • Field incoming calls to increase sales & traffic for most efficient & effective services
  • Interview customers by phone to obtain all necessary info to provide the best service
  • Handle customer complaints and customer concerns with billing or service
  • Dispatch Service Technicians to job sites
  • Handle Technician issues
  • Track job tickets & time records and make regular reports
  • Follow-up with customers to ensure on-time & satisfactory service
  • Excellent people skills
  • Self-motivated


    This position is located at our Headquarters in Bridgeville, PA

    MUST BE AVAILABLE TO WORK WEEKENDS and Holidays
    Interested? Reply to this posting with your resume or information.

 

Customer Service Representatives - Full Time 201
Gillece Services    01-17-2020 Bridgeville, PA, USA

As a Customer Service Representative, your job is to convert every inbound customer call into a booked service call. You will respond to customer requests, resolve issues and promote our services. In addition to taking all inbound calls, you will accurately input all customer information into the system while providing exceptional customer service. Other responsibilities include making outbound calls to offer various products and promotions to our previous customers. Must be able to work all shifts and Weekends.

Customer Service Representative Responsibilities:
Convert incoming customer calls into booked service appointments.
Make outbound calls to past customer, new customers,
Deliver call scripts with an authentic cadence; be clear, compelling and personable.
Respond to customer requests, resolving issues and promoting the brand.
Be professional and establish customer rapport, encouraging repeat business.
Participate in training to boost booked calls and practice outbound calling.
Adhere to the company's plan for resolving customer complaints quickly and favorably.
Maintain and update customer database with complete and accurate information.

Customer Service Representative Qualifications:
Must be available to work Weekends - Flexible Availability (Morning/Afternoon/Evening Shifts)

MUST have inbound call center experience& outbound Experience

Clear, concise and correct communication skills
Ability to multitask in a fast-paced work environment
Exceptional listening skills and attention to detail
Successfully pass a background check and drug screening

What we are proud to offer you: Bonus and Incentive Structure, Paid Training, Paid Vacation, Health Insurance, Dental Insurance, 401K- With a company match

Appeals Coordinator 34
Integrated Resources, Inc    01-13-2020 Richmond, VA, USA

Job Title: Appeals Coordinator

Location: Richmond, VA

Duration: 6 months with possibility to convert

 

JOB SUMMARY:

Coordinate appeals process as assigned, attends to risk management issues associated with utilization management appeal requests.

The Appeals Coordinator will work closely with the appeals unit clinical review staff, known as Appeal Nurses, to ensure timely and accurate processing of requests for post-determination review.

 

Responsibilities/Duties:

  • Maintains a caseload and monitors day to day compliance of appeal decision time frames.
  • Reviews clinical and medical records for completeness and determines administrative or clinical appeal. 
  • Assigns reviews to physician advisers and medical directors for those requiring medical necessity reviews.
  • Enters all data related to appeals and case reviews into a database.
  • Prepares and presents information on appeals to panels second-level multi-disciplinary committee.
  • Participates in data gathering and analysis of reports regarding appeal activity as well as preparing for appeals audits, provides new employee training, monitors QI (Quality Improvement) activities of appeals department, and assists in the development of depart flows and implementations.
  • Coordinates and distributes first, second and third level appeal request assignments.
  • Consults with managers on problem cases and interfaces with case managers, clinical supervisors, account managers and other personnel in resolving denial and appeal questions.
  • Responds to member, provider, and client telephone inquiries regarding status, process and outcome of appeals.
  • Organizes volume of work and workflow so that performance standards and proper procedures for appeals resolution according to client requirements and state and federal regulations are addressed.

 

Qualifications

  • Claims experience and medical terminology knowledge & prior authorizations required.
  • There will be clerical piece, data entry, entering cases & research case components, as well.
  • 1 year of experience in Customer Service and clinical appeals in a healthcare setting, HMO required
  • Virginia Premier Health Plan or Anthem previous employees would have applicable experience*
  • Experience with Microsoft Office Suite
  • Outstanding verbal communication skills, and proven track record in effective customer services relations required
  • Experience with reimbursement instruments (standard claim forms) and medical claims handling (provider or payor) preferred.
  • Knowledge of industry terminology (CPT and ICD-9 codes).

 

 

Appeals Coordinator 23
Integrated Resources, Inc    01-13-2020 New York, NY, USA

Job Role: Appeals Coordinator

Job Location: New York, NY

Job Duration: 3 months (Extension Possible)

 

Job Summary:

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. Is combined with Grievance Coordinator functions. The ideal candidate will have:

  • Experience in customer interactions and detailed review of health-related materials
  • Strong interpersonal skills and attention to detail
  • Ability to organize work and seek help on tasks where needed
  • Strong writing and proofing skills required ensuring documents meet standards and are accurate

 

Job Description:

  • Maintains a caseload and monitors day to day compliance of appeal decision time frames
  • Reviews clinical and medical records for completeness and determines administrative or clinical appeal
  • Assigns reviews to physician advisers and medical directors for those requiring medical necessity reviews
  • Enters all data related to appeals and case reviews into a database
  • Prepares and presents information on appeals to panels second-level multi-disciplinary committee
  • Participates in data gathering and analysis of reports regarding appeal activity as well as preparing for appeals audits, provides new employee training, monitors QI (Quality Improvement) activities of appeals department, and assists in the development of depart flows and implementations
  • Coordinates and distributes first, second and third level appeal request assignments
  • Consults with managers on problem cases and interfaces with case managers, clinical supervisors, account managers and other personnel in resolving denial and appeal questions
  • Responds to member, provider, and client telephone inquiries regarding status, process and outcome of appeals
  • Organizes volume of work and workflow so that performance standards and proper procedures for appeals resolution according to client requirements and state and federal regulations are addressed

 

Required Education Level:

  • High School Graduate/GED

 

Required Experience:

  • 2 years of experience in healthcare customer backgroundc
Customer Service Representative 30
Mclin Commercial    12-20-2019 New York, NY, USA

We are looking to fill entry-level Sales and Customer Service positions in our retail locations.

 

Our firm provides exceptional customer service while continuing to grow and develop new markets for our prestigious clientele. We partner with Fortune 500 companies in the consumer electronics industry to raise awareness around their brands, drive sales and provide the best customer experience possible for store members. We are located inside of major retail venues, so new employees will be trained in retail-based advertising, customer service and sales.

 

The Customer Service & Sales Specialist will be the first point of contact for our customers, so your primary focus is to identify and address the needs of our customers and help them find the most fitting product or service to meet their needs. Making genuine connections, building good rapport and speaking articulately are essential to success in this role.

 

Responsibilities Include:

• Provide exceptional customer service to our store members

• Expertly managing the needs of customers

• Developing strong leadership and interpersonal skills

• Drive sales of goods or services to prospective customers

• Communication of products and services should be succinct and articulate

• Attend team meeting and sharing best practice with colleagues

• Maintain a positive and cheerful demeanor always

 

Qualifications for Success in this Role:

• Outstanding communication skills

• Self-motivated person who takes initiative

• 1-2 years of customer service, sales or direct marketing experience

• Bachelor’s Degree preferred but not required

• Desire to grow personally and professionally

• Ability to commute to San Jose CA

 

Perks

• Weekly paydays ($600-$1,000 wkly)

• Eligibility for Commissions and Bonuses

• Family-Oriented Environment

• Friendly Competition

• Mentorship

• Ongoing Training

• Personal and Professional Development

• Advancement in the Company

 

The Next Step:

 

Our firm is ready to add to our expanding team now and we are seeking motivated individuals who are not only looking to make an impact on their next company, but also their community. If you feel that you are ready to take the next step in your career and if you feel that you are that dynamic individual that is ready to make a difference in the world around them - Apply Today!

 

MAS Advertising is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Customer Service - CSV Customer Service Representative III 41
TekWissen LLC    12-18-2019 Maplewood, MN, USA
Job Description:
Client Info: The Client is an American multinational corporation. They have they're operating in the fields of industry, worker safety, health care, and consumer goods. The company produces a variety of products, including adhesives, abrasives, laminates, passive fire protection, personal protective equipment, window films, paint protection films, dental and orthodontic products, electrical & electronic connecting and insulating materials, medical products, car-care products, electronic circuits, healthcare software, and optical films. It is based in Maplewood, Minnesota.
There can be requests for longer workdays, and weekend working
 
Job Description:
  • The person hired within our MSO USAC Operations organization will offer support to one of 3M’s divisions and their corresponding customers and/or products.
  • These Operations representatives will be highly-engaged and handle varied customer transactions; including inbound/outbound calls to customers and internal 3M groups.
  • These calls could entail questions on customer order entry, servicing customer accounts, questions and working dispute management, deduction resolution and returned goods claims/cases will also be part of their workload.
  • They will need to be able to communicate with other departments and providers to research and resolve issues, identify and implement service solutions; monitor progress using service measurement systems; identify areas to improve communications and efficiency of operations through continuous improvement efforts; work to enhance knowledge in key service areas; and other duties as assigned
Basic Skills: Bachelors’ Degree is required.

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