Job Description
Job Description
This position starts as a 3-month contract working onsite with a leading healthcare facility and comes with the likeliness of an extension or direct offer.
Pay Rate: $23.00/hour
Schedule - Monday-Friday 8:30am-5:30pm
What You'll Do:
This position has the following primary objectives with respect to customer relations for all HAP product lines:
- Provide follow-up and courteous and prompt resolution to member inquiries by conducting thorough investigations and fully educating members and customers;
- Support corporate and departmental goals, member enrollment activities and product implementations;
- Research, investigate and resolve service failures. Improve the customer experience by identifying root causes, trends and recommend resolutions for service recovery and retention;
- Educate members and prospective members to promote HAP as the health care coverage of choice.
- Respond to inquiries by telephone, mail and in person; research and answer inquiries, complaints and appeals by following all department standards, policies and procedures; direct inquiries to supporting departments for appropriate action and resolution.
- Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products.
- Document all incoming inquiries accurately in to track member inquiry history and trends.
- Practice and maintain confidentiality to Privacy and HIPAA regulations.
- Proactively seek training and development to enhance skills and abilities.
- Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner; contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
- Attend training and development sessions or continuing education opportunities offered by Customer Service and maintain enhanced skill levels and performance.
- Interact with providers and their staff to obtain information for resolving customer inquiries and complaints.
- Recommend process improvements based on observations and trends identified while interacting with internal and external customers.
Key Requirements:
- Completed course in Medical Terminology (required completion within six months post-employment).
- Associate’s Degree OR a minimum of4 years of recent and related work experience in a customer service capacity may be considered in lieu of the degree.
- Minimum of 2 years of recent Customer Service or Call Center experience within the last three years.
- Demonstrate problem solving skills, flexibility, good judgment and ability to provide service excellence.
- Demonstrate the ability to handle assigned projects from start to successful completion including appropriate follow-up and documentation.
- Demonstrate strong interpersonal, listening, verbal communication and business writing skills.
- Demonstrate efficiency in using a PC and various Microsoft programs.
- Fundamental understanding of HMO/PPO/POS delivery system and claims billing.
- Must be able to work flexible shifts, overtime including evenings and weekends as requested and/or scheduled.
Why You’ll Love This Role:
- Work with a mission-driven healthcare team making a real impact
- Stability and long-term career growth opportunities
- High-impact, visible role in strategic financial decisions
Ready to apply? For immediate review of your resume, email me at sjasmund@mednationalstaffing.com
Company DescriptionUsing the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest.
Since our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.
Company Description
Using the best business practices obtained from many years of experience in Business, Law, and Recruiting and Staffing, the Founders at CrossFire Group (“CrossFire”) started in downtown Royal Oak, MI more than a decade ago. With backgrounds in Information Technology (IT) and the Legal Industry, CrossFire began placing by IT and Legal Professionals in contract and direct-hire positions throughout the Midwest.\r\n\r\nSince our founding, CrossFire has grown into a full-service Human Capital Solutions Organization. We are proud of now providing full services beyond recruiting and staffing. Our portfolio of services includes HR supply chain management, human resources consulting, and many customized Human Resource related services.