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Customer Service Representative I

Company: Centene Corporation
Location: Rocky Mount
Posted on: January 4, 2019

Job Description:

Customer Service Representative I 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 resourcesProvide assistance to members and/or providers regarding website registration and navigationDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) applicationProcess written customer correspondence and provide the appropriate level of timely follow upMay coordinate member transportation and make referrals to other departments as appropriateMaintain performance and quality standards based on established call center metrics including turn-around timesFoundation 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 servicesResearch 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 reductionQualification: Education/Experience\\: High school diploma or equivalent. 1+ years of call center customer service experience, or 2+ years of customer service experience, preferably in a healthcare or insurance environment. Depending on the state, bi-lingual may be preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.Associated topics: call center, customer care associate, customer service, phone, platform support, rep, support, system support, technical support, tsr

Keywords: Centene Corporation, Rocky Mount , Customer Service Representative I, Sales , Rocky Mount, North Carolina

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