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Customer Service Representative

Job not on LinkedIn

đź•’ Yesterday

⚔️ Virginia – Remote

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đź’µ $17 - $19 / hour

⏰ Full Time

🟢 Junior

đź’ť Customer Support

🚫👨‍🎓 No degree required

đź‘» Ghost score 17%

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Logo of Revelations Counseling & Consulting

Revelations Counseling & Consulting

201 - 500 employees

Founded 2011

🏥 Healthcare

đź’Ľ Consulting

🏛️ Government

Healthcare • Consulting • Government

Revelations Counseling & Consulting is a provider of licensed counseling services and organizational consulting that bridges mental healthcare with system-level whole-health solutions. The company delivers competent, compassionate counseling to individuals, families and offers consulting for commercial and government entities to optimize human performance, address social determinants of health, and predict better outcomes across systems. Their site references patient/client portals, counseling and consulting capabilities, leadership, partnerships, NAICS/CAGE identifiers and services for both clinical care and systems-level implementation.

đź“‹ Description

• Provide outstanding customer service related to Veteran care through the Community Care Network (CCN) in a fast-paced contact center • Respond to inbound calls and chat messages regarding authorizations for medical and behavioral health care, provider status and availability, claims payment and status • Assess caller requests, answer caller inquiries, process requests, and follow first-call-resolution or escalation protocols • Make outbound calls to schedule appointments based on Veteran or VA request • Resolve administrative eligibility discrepancies through account research and review • Manage multiple task lists according to directed timelines • Meet call volume, chat volume, schedule adherence, quality, Veteran appointment, and other production standards • Initiate and receive phone calls, chat messages, and emails from VA medical center staff and providers to answer claims, eligibility, benefit, and program questions • Facilitate Veteran appointment scheduling through outbound provider solicitation in select markets • Record preferences and track Veteran questions in TriWest CRM systems, Portal, and VA HSRM systems • Resolve VA and provider inquiries with a focus on first-call resolution • Protect patient health information and comply with HIPAA regulations • Document all communications involving Veteran and provider contacts • Use critical thinking and established processes to assure quality program compliance • Participate in cross training, employee development, and flexible assignments to meet business needs

🎯 Requirements

• High School diploma or GED • One year of experience in a customer service role with performance metrics • Experience using Microsoft Office products and the Internet • Ability to cover any work shift • Ability to work overtime, if needed • Proficient data entry skills • Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications • Ability to meet daily call and chat requirements • Regular and consistent attendance

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