Concierge Customer Service Rep (Remote)

Scope: This is a critical position requiring excellent customer interaction skills. Individuals are expected to accurately service and satisfy customers by responding to customer inquiries. Concierge/Customer Service Representative needs to be versatile and equipped with a strong skill set to handle the complexity of the job. Education: ?inimum HS Diploma/GED, 2 years college or higher education preferred. Licensure/Certification Requirements: ?one Experience: ?ne year Customer Service / Call Center experience in a health care related role. ?edical Intake or Third-Party Administrator (TPA) experience preferred. ?ilingual English-Spanish a plus. Requirements/Skills: ?atience and ability to handle difficult situations tactfully and diplomatically. ?trong customer relations, interpersonal skills. ?trong appreciation and ability to handle confidential & sensitive information. ?roficient with Microsoft applications, strong computer skills and computer navigation. ?xcellent data entry and typing skills. ?nowledge of provider organizations and networks. ?nowledge and understanding of CMS Medicare reimbursement rates. ?bility to effectively negotiate rate structures. ?akes initiative to resolve situations and to accomplish projects actions and tasks. ?xcellent verbal and written communication skills. ?ndependent judgment in decision making and problem solving. ?bility to multi-task & anticipate potential needs/problems. ?bility to build relationships with internal and external customers. ?edical Terminology ?trong attention to detail. ?nderstanding of Self-Funded health benefits a plus. ?laim processing skills a plus. ?nsurance verification or pre-certification a plus ?rovider office/facility billing department or financial area. ?trong analytical and research skills Duties and Responsibilities: ?espond to telephone and email inquiries received from members and provider within defined service standards. ?egotiate with providers to gain acceptance for plans without network agreements and/or out of network providers. ?ssist members with benefits and healthcare questions. ?ocument all calls received in system-based call log. ?he incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice. The pay range for this position is $16.00 to $18.00. Work Environment / Physical Demands: This position is in a typical office / home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. Applicants must be authorized to work for any employer in the United States. We are unable to sponsor applicants for employment. We are an Equal Opportunity Employer, including disability/veterans.

About Medwatch LLC
Are you ready to take your career to the next level? At MedWatch, we are a community of passionate, driven individuals who thrive on innovation and collaboration. For over 35 years, MedWatch has partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, MedWatch reduces healthcare expenditures for the plan and plan member. We offer competitive compensation and a comprehensive benefits package including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Shift:
? hour shift
?ay shift

Work Location: Remote

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