Customer Service Representative Iii
CurrentProvide timely, accurate, and courteous responses to a high volume of telephone inquiries from both members and providers.Achieve and maintain productivity and quality performance expectations.Interpret and effectively communicate benefits, eligibility and claims processing information to customers.Document all critical information related to contacts responded to in the appropriate MHS screen/system.Manage pending inventory in a timely and accurate manner in order to meet or exceed quality and productivity standards.Effectively navigate through multiple complex systems/screens.Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, and when necessary escalate those issues to management for further handling.Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additional training sessions as necessary.Complete projects and other research tasks as assigned by area management.Comply with all HIPAA Compliance regulations.
