Customer Service Specialist

🔥 12 hours ago

🏈 Alabama, Arizona, +14 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

💵 $19 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Healthesystems

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Healthesystems is a company that specializes in transforming the workers' compensation pharmacy and ancillary benefits management experience through advanced technology, human-centered service, and industry expertise. They focus on providing an integrated experience for their customers in the realm of workers' compensation, offering services such as pharmacy management, clinical services, data analytics, and claims technology. Their commitment involves innovation and care in managing the complexities of workers' compensation claims, including the clinical and cost management of therapies and pharmaceuticals for injured workers.

📋 Description

• Build trusted relationships with clients, claimants, and pharmacies by providing superior customer service to every caller • Resolve phone inquiries related to claims adjudication, eligibility verification, prior authorization, Pharmacy Benefit Management, Ancillary Benefits Management, and some Billing Verification Department functions • Work with Team Lead, Supervisor, and Manager to resolve customer inquiries • Use verbal and written communication, listening, organizational, problem-solving, and reasoning skills • Adhere to attendance, punctuality, and quality guidelines • Translate jargon and complex processes into simple, step-by-step instructions • Handle difficult customers and situations with attention to detail, patience, professionalism, and compassion • Adapt communication approach to different member styles and personalities • Take initiative and assume responsibility where appropriate

🎯 Requirements

• 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 • Reliable, high speed internet access with sufficient bandwidth • Private workspace free from distraction and noise • Knowledge of Windows-based applications • Ability to multitask with dual monitors • Ability to swiftly enter information using a keyboard • Ability to read prescription drug names • Ability to comprehend simple instructions • Ability to write short correspondence/memos • Prior experience in an administrative business environment highly preferred • Experience in the healthcare industry preferred • Flexibility to work varying or rotating shifts, overtime, weekends, and holidays as necessary

🏖️ Benefits

• Work-From-Home model • Healthcare coverage • PTO • Paid holidays • 401(k) • Company-provided life insurance/disability coverage • Wellness options/resources • Company laptop provided • Recognition programs • Dental insurance • Vision insurance • Statutory benefits, including Colorado HFWA • Travel to attend meetings and visit locations throughout the country may be required

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