Customer Service Representative

  • Location: Miami, Florida
  • Type: Contract
  • Job #31223

Customer Service Representative – REMOTE

  • Location: Remote (Miami, FL, Must live in area for Possible on site training) 
  • Shifts: 8:30 am to 5:30 pm- Monday – Friday
  • Pay: $17-$19/hr Depending on Experience 
  • Our Musts: Must be fluent in English and Spanish (Written and Verbal) 
  • Experience1 year call center and/or medical/dental customer service experience are required

Customer Service Representative:

The Customer Service Representative assists members and their families in accessing dental benefits and resolving issues related to accessing benefits. Receives and handles all incoming telephone calls in a professional and courteous manner. Seeks to prevent members from voluntarily terminating and assists in the reinstatement of those members who voluntarily terminated coverage.
 

Principal Accountabilities are, but not limited to:

  • Thoroughly understands the dental benefits industry (HMO and PPO) and the products the company offers.
  • Receives, records, and resolves member inquiries, incidents and complaints.
  • Answers calls in a pleasant and courteous manner.
  • Routinely accesses member information via the software system.
  • Accurately documents member contacts on the software system.
  • Is familiar with the network providers.
  • Communicates effectively and professionally with providers and state agencies.
  • Attempts to salvage members calling in to request voluntary termination.
  • Screens telephone calls and directs to the appropriate person as necessary.
  • Constantly meets established productivity, schedule adherence, and quality standards
  • Resolves customer service inquiries which could include:
      • Benefit and eligibility information
      • Billing and payment issues
      • Explanation of treatment plan and treatment plan options
      • Customer material requests
      • Dental office assignments
      • Authorization for treatment
  • Work is frequently completed without established procedures.
  • Works independently.
  • May act as a resource for others.
  • May coordinate other’s activities.
  • May coordinate and attend enrollment meeting or educational activities in the community.

Assets:

  • Associate degree
  • Knowledge of HMO/PPO/Medicare and medical/dental terminology is preferred

 

Interested and want to learn more? Apply below.

YOUR IDEAL EXPERIENCE.. 

“Connecting people and creating a path to thrive together” IS AT THE HEART OF ALL WE DO.

Our passionate and dedicated team will help you navigate through your career journey starting from Day 1. We’ll take care of everything, so you can focus on what you do best.

We’re thrilled you are thinking about embarking on the iDEAL Path.

Exciting new adventure awaits!

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