Customer Service Representative (San Antonio, TX)

Other jobs >> General

Negotiable

Permanent

Description

Job Description



CATEGORY Customer Service

SCHEDULE Full-time

DESCRIPTION:



Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.





* Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources

* Provide assistance to members and/or providers regarding website registration and navigation

* Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application

* Process written customer correspondence and provide the appropriate level of timely follow up

* May coordinate member transportation and make referrals to other departments as appropriate

* Maintain performance and quality standards based on established call center metrics including turn-around times



Foundation Care:



* Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services

* Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment

* Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
  • 1
  • Negotiable
  • None
  • None
  • Re-102056
  • Permanent
  • 0

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