Customer Service Representative

As an Inbound Customer Care Representative, you will be answering inbound calls. You will deliver a unique customer service experience utilizing your effective questioning and listening skills to determine the customer's needs and concerns, and ensuring a high level of customer satisfaction. This will involve providing excellent customer service support, and answering calls to properly handle account requests.

We are looking for individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis. You should also have the time-management and organizational skills necessary to effectively manage multiple expectations in a fast-paced environment. It is also vital that you display exceptional verbal and written communication, interpersonal and active-listening skills. This position is looking for someone to work in the Canfield Ohio office. Upon completion of training and satisfactory meeting quality and production goals. You will be eligible to participate in our corporate hybrid policy that allows you to work part of the week at home and part of the week in the office.

• Follows claims processing guidelines, benefit structures, Claims processing system procedures, and carrier guidelines
• Expedites problem files to appropriate department and does follow-up until resolved. May include some follow-up to insurers, providers, and agents
• Ability to answer phones in friendly, courteous, and professional manner.
• Analyzing claim payment and entering into computer
• Document required information into the system
• Meeting production and quality standards
• Other duties as assigned

• Prior claims experience helpful
• Must have analytical/problem solving capabilities
• Must be PC literate with 10-key proficient
• Excellent oral and written communication skills
• Knowledge of Medical terminology, CPT codes and ICD-9/10 diagnosis codes preferred