Responsible for providing an excellent service when answering requests from policyholders, members, and providers through phone calls received. Solves situations or service needs, channeling them through the established operational processes and service guidelines. Documents the service provided to guarantee the continuity of the services offered by the MCS Call Center.
? Handles phone calls received from the assigned business line. Answers them following the established call protocol to offer quality service and guarantee the accuracy of the information provided.
? Evaluates, solves, and documents the situations presented in the call by policyholders, members, and providers, making sure to classify and channel the service request according to the established processes.
? Uses the UIP ASPECT connection system, connecting according to their work schedule, maximizing call time. By doing so, they can contribute to the Call Center performance metric of answering 85% of calls within the first 30 seconds, without exceeding 3% of abandonment rate and waiting time not exceeding 2 minutes, following the expectations of the company and regulatory agencies.
? Guarantees that 95% of the established quality and service standards are met in the handling of calls received in the unit.
? Complies with the established work schedule to meet 97% of the schedule compliance standard.
? Works on the established parameter of 98% documentation of the service provided through the call received, including relevant, concise, and accurate information.
? Maintains their disposition code in the telephone system, guaranteeing compliance with 98% of the established parameters.
? Makes coverage certifications, if necessary, and letters of non-covered services, among others, as requested by the policyholder, member, and provider.
? Maintains updated demographic information of policyholder members in the Power MHS and Voyager databases, among others.
? Requests card duplicates and other service requests, such as changes in PCP (Primary Care Physician) in case of assigned line of business and premium payments, among others.
? Receives, guides, and documents concerns received from policyholders, members, and/or providers. Refers to the corresponding units the complaints received from policyholders, members, or providers according to the established protocol and the stipulated time.
? Complies fully and consistently with the Company's standards, policies, and procedures, in conjunction with local and federal laws applicable to our industry, business, and employment practices.
MINIMUN QUALIFICATIONS
High School Diploma. At least three (3) years of experience working in Customer Service areas, preferably in a Call Center in the Health Insurance Industry.
OR
Sixty (60) college credits, equivalent to two (2) years of study or an associate degree. At least two (2) years of experience working in Customer Service areas, preferably in a Call Center in the Health Insurance Industry.
OR
Bachelor's degree from an accredited institution. At least one (1) year of experience performing duties in a similar position working in Customer Service areas, preferably in a Call Center in the Health Insurance Industry.
"Proven experience may be replaced by previously established requirements."
Other: Knowledge of medical billing, preferably. Availability to work rotating shifts, Saturdays, Sundays, and holidays.
LANGUAGES:
Spanish - Intermediate (writing, conversational, and comprehension)
English - Intermediate (writing, conversational, and comprehension)
"Somos un patrono con igualdad de oportunidad en el empleo y tomamos Acción Afirmativa para reclutar a Mujeres, Minorías, Veteranos Protegidos y Personas con Impedimento"
Please, copy and paste the following link in your broswer and complete the Job Application on our web site:
https://mcshealth.csod.com/ux/ats/careersite/1/home/requisition/2681?c=mcshealth
Job Type: Full-time
Pay: $11.00 per hour
Expected hours: 37.5 per week
Benefits:
Dental insurance
Health insurance
Paid time off
Schedule:
8 hour shift
Day shift
Holidays
Monday to Friday
Weekends as needed
Application Question(s):
Are you currently studying? at what times?
Have you scheduled in advance a vacation period or any other purpose for the rest of the year?
Have you previously worked for MCS and/or any of its subsidiaries? or Any Family member? If yes, please share the name and position.
This position has an hourly compensation of $11 p/h. Is this within your salary expectations?
Are you available to work Onsite (Hato Rey-San Juan)?
Would you be available to work 7.5 hour rotating shifts (between 8AM- 8PM)? Would you be available to work weekends and holidays?
Language:
English (Required)
Work Location: In person
