客户服务专员 - 远程居家办公
Customer Service Specialist - Remote Work From Home
Healthesystems 提供居家办公的灵活工作模式，以及具有竞争力的薪酬和福利包，包括医疗保障、带薪休假、带薪假日、401(k)、公司提供的寿险/残疾保险、健康福利选项等。
首选州：AL、AZ、FL、GA、ID、IN、MD、MS、MO、NC、OH、OK、PA、SC、TN、TX、UT、VA（我们无法在所有州招聘）
工时：培训期间：东部时间上午10:30-下午7:15，周一至周五。培训结束后，常规班次为东部时间上午9点至晚上10点，周一至周五，可能需要周末值班
居家办公要求：为便于居家办公，并作为该职位的要求，候选人必须自备稳定、高速的网络接入，带宽足以完成所有工作职能。此外，候选人必须提供一个安静、无干扰的私人工作空间。公司将提供笔记本电脑
简介：客户服务中心专员的职责是通过为每位来电者提供卓越的客户服务，与我们的客户、其索赔人和药房建立信任关系
主要职责：“为每位客户提供简化复杂问题的服务”
- 与团队主管、主管和经理合作，解决与索赔审核、资格验证、事先授权以及其他药房福利管理、辅助福利管理和部分账单验证部门功能相关的电话咨询。利用强大的口头和书面沟通、倾听和组织能力，以及良好的解决问题和推理能力来完成这些任务
- 展示遵守出勤、准时和质量标准的能力，包括灵活安排轮班、加班、周末和节假日工作的能力
- 展示阅读处方药名、理解简单指令、撰写简短的信件/备忘录，以及将术语和复杂流程转化为简单步骤说明的能力
- 在处理困难客户和情况时，表现出细致的关注、适应不断变化的工作流程环境、耐心、专业和同理心。在满足各种会员沟通风格和个性时，展示灵活性和定制化的方法。在适当的时候主动承担并承担责任
资格/教育/证书：
高中毕业或同等学历（GED）及
查看英文原文
Healthesystems offers workplace flexibility with our Work-From-Home model, and a competitive compensation and benefits package including healthcare coverage, PTO, paid holidays, 401(k), company-provided life insurance/disability coverage, wellness options, and more.
States preferred: AL, AZ, FL, GA, ID, IN, MD, MS, MO, NC, OH, OK, PA, SC, TN, TX, UT, VA (we are unable to hire in every state)
HOURS: During training: 10:30am-7:15pm, Eastern Time, M-F. After training, regular shifts range between 9am-10pm, Eastern Time, M-F with possible weekends Sat/Sun
WORK FROM HOME REQUIREMENTS: To facilitate working from home, and as a requirement for this role, candidates must provide their own reliable, high speed internet access with sufficient bandwidth to execute all job functions. Additionally, candidates must provide a private workspace free from distraction and noise. Company laptop will be provided.
Summary: The role of the Customer Service Specialist is to build trusted relationships with our clients, their claimants and pharmacies by providing superior customer service to every caller.
Key Responsibilities: “To simplify complexities for each customer.”
- Works with Team Lead, Supervisor and Manager to resolve phone inquiries related to claims adjudication, eligibility verification, prior authorization and other Pharmacy Benefit Management, Ancillary Benefits Management and some Billing Verification Department functions as required. Utilizes strong verbal and written communication, listening and organizational skills as well as strong problem-solving and reasoning skills to accomplish this.
- Demonstrates ability to adhere to attendance, punctuality, and quality guidelines including a flexibility to work varying or rotating shifts, including overtime, weekends, and holidays as necessary.
- Demonstrates ability to read prescription drug names, comprehend simple instructions, and write short correspondence/memos as well as translate jargon and complex processes into simple, step-by-step instructions.
- Demonstrates attention to detail, ability to work in an ever-changing work flow environment, patience, professionalism, and compassion while handling difficult customers and situations. Shows flexibility and a customized approach in meeting all types of member communication styles and personalities. Takes initiative and assumes responsibility where appropriate.
Qualifications/Education/Certifications:
High school diploma or general education degree (GED) and one to two years related customer service and/or healthcare experience required; or equivalent combination of education and experience.
Knowledge, Skills and Abilities:
Knowledge of Windows-based applications as well as the ability to multi-task with dual monitors and swiftly enter information using keyboard is required. Prior experience in an administrative business environment is highly preferred. Experience in the healthcare industry is preferred.
Physical Demands/Working Conditions:
Duties are performed primarily in a home office setting utilizing computer equipment. Travel to attend meetings and visit locations throughout the country may be required. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands. The employee is occasionally required to stand and walk. *** Job descriptions will be reviewed and are subject to changes of business necessity. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
*** Job descriptions will be reviewed and are subject to changes of business necessity. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Pay is based on several factors including but not limited to education, work experience, certifications, geographical cost of labor, etc. In addition to base pay, Healthesystems offers a comprehensive benefits package including, health, dental, vision, disability and life insurance, wellness resources, recognition programs, 401k contribution, and PTO & Holiday pay (all subject to eligibility requirements). Applicable statutory benefits also provided, including the Colorado HFWA.
Anticipated Starting Pay Range
$19—$19 USD
To facilitate working from home, and as a requirement for this role, candidates must provide their own reliable, high speed internet access with sufficient bandwidth to execute all job functions. Company laptop will be provided - (except for temporary internship roles)
Healthesystems California Prospective Employee Privacy Notice
Originally posted on Himalayas