CSR (Provider Services Unit)

TEKsystems
$21.00 / hr
United States, California, Northridge
Nov 22, 2024
Description: Receives incoming calls through phone queues involving multiple issues from Health Plans, Providers, and Billing offices. Maintains or exceeds quality and productivity standards of a minimum of 65 calls per day with matching documentation. Anticipate our customer needs: Understand the wants and needs of customers, listen for cues and identify how to respond and what level of intervention they need. Utilizes standardized processes, tools, researching and resolves routine or complex issues relating to services provided by a provider with in the medical group. This can include eligibility, provider availability and claim related issues. Provides basic claim information and claim status regarding external claims that have been submitted. Maintain patient confidentiality so that HIPAA compliance is observed at all times. Process member address and phone number changes. Ability to work independently in the resolution of telephonic issues. Handles designated assignments and prioritize work in order to maintain workflow. Ensures written and verbal communication with all levels of management, staff, vendors and property management or accurate and with good grammar. Displays professionalism, warm and pleasant phone personality, emphasizing tact, empathy, good judgment and patience. Additional duties as assigned About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.