Customer Service Representative - Aspire Health

Responsibilities

• Interacts with customers (clients, members and providers) via telephone, email, or in person to provide support and information specific to eligibility, benefits, claims, prior authorization requirements and appeals.
• Documents all communication in the applicable system of record.
• Provides proactive education to customers, as it relates to their specific inquiry.
• Provides accurate and timely responses to all customer inquiries.
• Succeeds in bringing all issues to closure within appropriate timeframe.
• Supports and covers inter-departmental staff as needed.
• Collaborates on customer appeals and grievances with appropriate staff.
• Performs other activities and functions as assigned.

Requirements

• Excellent verbal and written communication skills, including active listening.
• Minimum three years’ experience in customer service, call center, or similar.
• Service-oriented; Ability to resolve customer complaints and issues while maintaining a professional and calm demeanor.
• Ability to operate spreadsheet, word processing programs and computer equipment required to fulfill position responsibilities.
• Exceptional diplomacy skills to effectively resolve issues under sometimes tense and stressful circumstances.
• Excellent phone manner.
• Uses sound judgement, identifies next steps to be taken, and develops appropriate solutions.
• Bilingual Spanish/English desired.

Competencies

• Accountability and Dependability: Assumes responsibility for accomplishing duties in an effective and timely manner.
• Integrity: Consistently honors commitments and takes responsibility for actions and words.

Skills And Education

• Associates degree, or applicable professional experience, required.
• Minimum 1 to 3 years experience in a customer service, hospitality, or call center.

Benefits

• Competitive benefit package.

Pay

Salary commensurate with experience $21.00 - $23.00

Schedule

Variated.