Healthcare Customer Service Representative

Baltimore, MD
Mar 20, 2017
Mar 21, 2017
Customer Service
Healthcare, Other
Full Time
Healthcare Customer Service Representative Location: Baltimore, MD Salary: US$ 13 per hour Date Posted: Monday, March 13, 2017 Job Type: Temporary Reference #: S_508117 Questions? 763-545-8055 Specialty: Randstad USA Administration **Description** We currently have an opportunity for a large healthcare services provider located in Baltimore. This is a rapidly growing industry and they urgently need a qualified, healthcare claims orientated candidates with experience in healthcare to help the business continue to grow! These are temporary roles slated to last about 6 months in duration or longer, based upon the needs of the business. This is not a commissioned sales position. This position is an opportunity for you learn and establish yourself in a fast paced, high volume, growth environment. Receives coverage determination requests by mail, fax, or telephone. Responds to inquiries from policy holders, providers and/or others for information and assistance related to coverage determinations. Performs research to respond to inquiries and interprets policy provisions to determine most effective response. Independently responds to inquiries, grievances, complaints or appeals ranging from routine to moderate complexity. May seek assistance with complex customer services issues. Makes outbound notification calls to members and/or their appointed representatives regarding status of requests. May assist with special outbound call project. Benefit/formulary changes as needed. Working hours: Monday- Friday, 12:30pm- 9:00pm Skills: --1-2 years pharmacy benefits experience and/or call center experience --Strong analytical problem-solving and decision-making skills. --Self-motivator, detail oriented, and willingness to adapt to department and company needs. --Ability to understand oral and written directions --Strong organizational skills --Strong work ethic and integrity --Conscientious and customer focused --Team player --Strong written and verbal communication skills --Experience with Microsoft Office products including Word, Excel, Outlook Will be required to complete a full criminal history background check upon a formal job offer. For immediate consideration please send resumes to Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

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