Receptionist Call Center
Company: Spectrum Health
Location: Saint Joseph
Posted on: January 27, 2023
|
|
Job Description:
Job SummaryInbound call center to assist and educate members,
employer groups, providers, colleagues, and/or agents of health
plan benefits with accessing services, facilitating and resolving
problems, understanding claims, billing and coding, along with
other questions. Consistently create an exceptional experience with
each contact, via inbound and outbound calls, face-to-face
interactions, online chat, email, etc.Essential Functions+
Analyzes, evaluates, resolves and responds to service inquires from
members, providers, employer groups, colleagues, agents, Elite
agents (customers), and others within departmental guidelines.
Professional and pleasant interactions are ongoing expectations.+
Partnering with internal and external resources, promptly provides
customers with information and education concerning benefit
clarification, eligibility requirements, verification,
authorization, billing and claim status.+ Promptly identifies and
resolves or escalates customer concerns or complaints to achieve
positive outcomes. Places outbound welcome calls to members to
educate them on their benefits as needed. Assists walk-in members
and agents if assigned by leadership.+ Adheres to established
procedure and quality guidelines in support of Priority Health
service promise, key drivers, performance indicators, as well as
Corporate values and codes of excellence. Identifies potential
trends or issues that impact health plan members and works with
coworkers and leadership resources to suggest process
improvements.+ Assists members with administrative issues, such as
submitting enrollment record changes, providing letter explaining
coverage or benefits, and obtaining and relaying certain member
information to other departments as needed.+ Facilitates claims
resolution through follow-up on member calls and correspondence
received to appropriate departments.+ Effectively tracks and/or
documents all service interactions with customers within
appropriate systems according to guidelines.+ Develops and
maintains behaviors of productivity, availability to customers, and
adherence to work schedule.Qualifications+ Required High School
Diploma or equivalent + Preferred Associate's Degree + 1 year of
relevant experience in related field RequiredPhysical Demands+
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs+
Waist to Waist > 5 lbs: Seldom up to 10 lbs+ Waist to Chest
(below shoulder) > 5 lbs: Seldom up to 10 lbs+ Waist to Overhead
> 5 lbs: Seldom up to 10 lbs+ Bilateral Carry > 5 lbs: Seldom
up to 10 lbs+ Unilateral Carry > 5 lbs: Seldom up to 10 lbs+
Pushing Force > 5 lbs: Seldom up to 20 lbs+ Pulling Force > 5
lbs: Seldom up to 15 lbs+ Sitting: Frequently+ Standing:
Occasionally+ Walking: Occasionally+ Forward Bend - Standing:
Seldom+ Forward Bend - Sitting: Occasionally+ Trunk Rotation -
Standing: Seldom+ Trunk Rotation - Sitting: Occasionally+ Squat:
Seldom+ Stair Climbing: Seldom+ Reach - Above Shoulder: Seldom+
Reach - at Shoulder or Below: Seldom+ Handling: Occasionally+
Forceful Grip > 5 lbs: Seldom+ Forceful Pinch > 2 lbs:
Seldom+ Finger/Hand Dexterity: Frequently+ Visual Acuity - [None =
No; Seldom = Yes]: SeldomPrimary LocationSITE - Lakeland Medical
Center - 1234 Napier Ave - St JosephDepartment NameContact Center -
LakelandEmployment TypePart timeShiftVariable (United States of
America)Weekly Scheduled Hours24Hours of Workvaries, 7-3p or
3-11pDays WorkedMonday, Friday, & e/o weekend, varied
holidaysWeekend FrequencyEvery other weekend CURRENT SPECTRUM
HEALTH TEAM MEMBERS - Please apply through Find Jobs from your
Workday team member account. This career site is for Non-Spectrum
Health team members only. Spectrum Health is committed to providing
a safe environment for our team members, patients, visitors and
community. That is why we require a drug-free workplace and various
vaccinations as a requirement for employment.Spectrum Health grants
equal employment opportunity to all qualified persons without
regard to race, color, national origin, sex, disability, age,
religion, genetic information, marital status, height, weight,
gender, pregnancy, sexual orientation, gender identity or
expression, veteran status, or any other legally protected
category.An interconnected, collaborative culture where all are
encouraged to bring their whole selves to work, is vital to the
health of our organization. As a health system, we advocate for
equity as we care for our patients, our communities, and each
other. From workshops that develop cultural intelligence, to our
inclusion resource groups for people to find community and
empowerment at work, we are dedicated to ongoing resources that
advance our values of diversity, equity, and inclusion in all that
we do. We invite those that share in our commitment to join our
team.If you are a qualified individual with a disability, you may
request assistance in completing the application process by calling
616.486.7447. We are committed to granting reasonable
accommodations in accordance with applicable laws.
Keywords: Spectrum Health, South Bend , Receptionist Call Center, Other , Saint Joseph, Indiana
Click
here to apply!
|