Customer Service Representative - Minneapolis - ref. r32486015

We are seeking a Customer Service Representative to join our team in the Healthcare/NHS industry. Based in MINNEAPOLIS, Minnesota, this role offers a contract to permanent employment opportunity. As a Customer Service Representative, you will be responsible for managing customer communications and queries, maintaining accurate records, and adhering to company policies and procedures.

• Address and resolve patient inquiries effectively and in a timely manner
• Maintain and update patient records with high accuracy
• Ensure adherence to company policies and procedures
• Provide services to both internal and external customers, exchanging complex and sensitive information
• Assist in resolving and/or documenting patient issues as needed
• Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures
• Use company systems to manage customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, and appeals
• Translate oral information into concise and accurate written documentation as per guidelines
• Help new or potential members in the choice of Primary Care Physician and provide general information about the medical group
• Assist Telehealth Nurses as necessary.
• Prior healthcare experience needed

• Proficiency in data entry tasks, ensuring accurate and timely input of information into the system
• Experience in handling documentation, including filing and maintaining records systematically
• Ability to provide training to new team members, ensuring compliance with company procedures and policies
• Familiarity with scheduling appointments, managing calendars, and coordinating meetings
• Experience in managing invoices, including verifying details and ensuring timely payments
• Strong focus on quality, ensuring that all tasks are completed to the highest standard
• Proficiency in using internet-based tools and platforms
• Knowledge of medical coverage options and ability to explain these to customers effectively
• Experience in managing benefit functions, including processing claims and handling paperwork
• Ability to perform ad hoc financial tasks as required
• Experience in claim administration, including processing and tracking claims
• Fluency in English and Spanish languages
• Excellent communication skills, both written and verbal
• Regular and reliable attendance, demonstrating commitment and professionalism
• Proficiency in Microsoft Office Suites, including Word, Excel, and PowerPoint
• Experience in interviewing, demonstrating the ability to assess candidates effectively
• Familiarity with HealthCare.gov and ability to navigate the platform efficiently
• Experience in handling authorizations, including processing and tracking approvals
• Ability to measure and report on key performance metrics, providing insights into service performance.