Customer Service Representative (Healthcare Benefits)

We are hiring multiple Customer Service Representatives (CSRs) for our customers Open Enrollment Season. Our customer is a premier Federal Healthcare Insurance organization based in Washington DC (these positions are 100% remote). After completing the necessary training, the CSRs will be implementing service and customer retention strategies through telephone interactions and written transactions which may include; member enrollment, interpretation of benefits, upgrades and coordination of benefits. Tasks and activities include:
* Respond to high volume call center support from members seeking healthcare insurance support and guidance
* Executes enrollment transactions
* Collaboration with medical experts
* Determine need for managed care initiatives
* Examines claims to identify key elements
* Apply an expert ability to analyze client needs
* Identifies clients who are eligible or in need of managed care interventions
* Documentation of all client encounters
This an opportunity to take advantage of your Health Insurance and CSR capabilities to grow your career to new levels. Are you interested in learning more? If so, please contact Elite Technical for immediate consideration.

Required Skills

* Must have a High School Diploma or equivalent G.E.D
* Seeking a minimum of 3 years of High Volume Inbound Call Center / Customer Service support experience. (Roughly 70 calls (could be more) on daily basis). Outbound calling considered a plus
* Health Payor Insurance experience is required, along with knowledge in Medicare and/or Medicaid
* Tech savviness is required, specifically being able to support MS Office (Outlook, Excel Word) = MUST HAVE
*Able to join/attend/participate in internal meetings on MS Teams
* Proven experience/successes within a high call volume is required
* Thrive in a Quality/Production driven environment
* Ability to defuse an irate customer via phone
* Attention to detail is CRITICALLY important.
* Knowledge of CPT, HCPCS, and ICD-9 / ICD-10 codes is a BIG PLUS
* PHI Member Data knowledge - Big Plus