CUSTOMER SERVICE SPECIALIST - LIBERTY ADVANTAGE

Liberty Cares With Compassion Liberty Advantage Is Currently Seeking An Experienced CUSTOMER SERVICE SPECIALIST Full Time Job Summary Handle escalated calls from members/providers or vendors resolving issues, preferably the first time. Help educate members on the benefits that are available to them, whether this is resolving claim information, setting up enhanced benefits…. Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialist for assistance when neededAssist with enrollment team to set up new members Document and resolve any Appeals and Grievances within required time frames as set by CMSResearch complex issues across multiple databases and work with support resources to resolve customer issues and/or collaborate with others to resolve escalated issues. Set-up and triage prior authorization requests, working through clinical protocols. Job Requirements High School Diploma/GED (or higher) OR equivalent work experienceMinimum of 3+ years of combined education, work and/or volunteer experienceExperience in Health Care Customer Service desirableExcellent listening, verbal, written and interpersonal communication skills. High level of professionalism and confidentiality, with a strong customer service focus. Can adapt well to operational needs with excellent follow-up skills. Must be self-motivated, with a work ethic of dedication and the discipline to work independently. Must have a valid driver’s license. Proven ability to communicate concisely and confidently with all staff levels. Can clearly communicate instructions to remote users. Visit www.libertycareers.com for more information. Background checks/drug-free workplace. EOE.