Customer Service Representative - Call Center

Location: Cypress
Posted on: November 11, 2024

Job Description:

Adecco is assisting a well-known, stable health care company in their search for several Customer Service Representative - Call Center in Cypress, CA. We are looking for customer-focused associates with great communication skills. This is a great opportunity to get your foot in the door at a stable and profitable company. While we cannot promise permanent employment, this company has a history of hiring the best of the best of the contract associates. Apply Now if you meet the requirements below!

A flexible schedule is required for this position. MUST BE ABLE TO WORK ANY SHIFT BETWEEN 6:55am-6pm, including holidays and weekends. PLEASE ONLY APPLY IF YOU ARE ABLE TO WORK THESE HOURS.

Responsibiliteis for the Customer Service Representative - Call Center include:

- Answer incoming calls; assists customers/pharmacies/physicians with orders and reorders, benefit eligibility questions and prescription status inquiries

- Escalate drug related calls to appropriate pharmacist

- Assist pharmacies and members on all issues related to processing of pharmacy claims

- Determine appropriateness of overriding pharmacy claims edits and error messages

- Coordinate internal resolution of claims exceptions and other issues

- Initiate correspondence with members regarding claims rejections and other benefit interpretation

- Make outbound calls on prescriptions withhold orders and payment issues

- May also assist in logging in of new prescription orders

- Educate customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries

Customer Service Representative - Call Center qualifications are:

- Customer Service experience preferred - Call Center and Health Care experience is a plus

- Position is in a call center environment handling approx. 100 calls per day

- Must be computer savvy and be able to toggle between several software programs

- Will be talking to customers while typing comments in the system for each call

- Must be patient, caring, and have good communication skills

There is a Quality Assurance program in place that all contractors are monitored on.

If you are interested in this Customer Service Representative - Call Center job opportunity Apply Now! At this time, we kindly request no phone calls be made to the local branch.

Keywords: , Hemet , Customer Service Representative - Call Center, Administration, Clerical , Cypress, California