Primary Responsibilities:
•Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
•Provides customer service support to providers through live chat, to give updates on their member's eligibility status or claims status and validates state specific requirements for claims and benefits processing.
•Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
•Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
•Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
Required Qualifications:
•1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
•Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
•Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of (8:00am to 9:00pm AST)
•Bilingual Spanish/English proficiency
Preferred Qualifications:
•Healthcare experience
TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Females / Disabled / Veterans). We comply with all Federal, State and Local laws regarding nondiscrimination.
Job Type: Full-time
Pay: From $13.00 per hour
Expected hours: 40 per week
Schedule:
8 hour shift
Day shift
Monday to Friday
Night shift
Experience:
Call center: 1 year (Required)
Customer service: 1 year (Required)
Language:
Bilingual (Required)
Work Location: In person