8 Customer Service Representatives

Frederick, MD
Apr 20, 2017
Apr 21, 2017
Customer Service
Full Time
8 Customer Service Representatives Location: Frederick, MD Date Posted: Thursday, April 6, 2017 Job Type: Temporary Reference #: S_516374 Questions? kadie.hokanson@randstadusa.com 000/000-0000 Specialty: Randstad USA Administration **Description** Qualified resumes please send directly to kadie.hokanson@randstadusa.com Randstad National Recruiting is now seeking 8 Customer Service Representatives to work in a large healthcare industry. Primary Responsibilities: - Provide claims support by reviewing, researching, investigating and resolving all types of claims as well as resolution for health plans, commercial customers, and government entities - Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance - Perform other duties as assigned - Develops and expands knowledge of COB Rules, basic computer skills and business etiquette - Performs basic and specialty workflow and administrative tasks with minimal supervision - Collaborates with others to identify and solve moderate problems that promote efficiency and quality - Initiates telephone calls to members, providers and other insurance companies to gather COB data - Receives and respond to incoming telephone inquiries - Determines primacy using published COB guidelines - Updates eligibility system/ database with outcome of primacy investigation - Documents and communicates outcome of investigation following departmental procedures - Meets productivity, quality and timeliness goals - Responds to routine or standard requests to meet customer needs - Focuses on Customer; exceeds expectations and improves customer experience - Makes fact- based decisions; uses sound judgment and applies business knowledge - Acts ethically; demonstrates integrity, complies with all laws, regulations and policies Working hours: Monday-Friday 8:00-5:00 Skills: Required Qualifications: - High School Diploma or GED - 1+ years of Claims or Call center experience - 1+ year of Customer Service experience analyzing and solving customer problem - 2+years experience with computer and Windows PC applications, including basic knowledge of Microsoft Excel, Word and Outlook Preferred Qualifications: - 1+ years experience working in the Healthcare Industry Physical Requirements and Work Environment: - Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer - Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity Shift Start/End Time: 8:00am to 4:30pm These are training hours as well which will take about 4 weeks Dress Code: Business casual Qualfied resumes please send directly to kadie.hokanson@randstadusa.com 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. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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