Call Center Representative-Work From Home

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Overview

This job opportunity is for a Call Center Representative position at Presbyterian Healthcare Services, focusing on Patient Services and is remote, but restricted to residents of the Albuquerque Metro Area. The representative will be responsible for providing excellent customer service to patients regarding scheduling appointments, handling referrals, messaging, and maintaining patient demographics. The employees are expected to deliver outstanding service across various communication channels, including phone, written inquiries, and online messaging.

Job Responsibilities

The role involves a wide range of responsibilities which are crucial for the smooth operation of patient-related services. Key responsibilities include:

• Responding to inquiries from PHP members and providers about insurance benefits, coverage, and premiums associated with different health plans such as Centennial Care, Commercial, and Medicare.

• Maintaining patient satisfaction by ensuring that all customer interactions meet established quality standards and performance measures.

• Conducting outbound calls as needed to engage with members and maintain effective communication throughout their healthcare journey.

• Participating in outreach events to represent Presbyterian Healthcare Services such as enrollment fairs, job fairs, and community health events.

• Assisting in process documentation and identifying opportunities for service improvements, enhancing overall efficiency in customer service operations.

Required Skills and Qualifications

Candidates interested in applying for this position must possess specific skills and qualifications that ensure they can perform effectively in this role. The ideal candidate should meet the following criteria:

• A high school diploma along with one to three years of office/business experience. Previous call center experience is preferred but not mandatory.

• Excellent customer service skills and ability to meet departmental metrics and attendance requirements.

• Strong communication skills, both verbal and written, to interact effectively with members, employer groups, and practitioners.

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• Proficiency in using software tools such as Microsoft Excel and Access to develop and analyze reports.

• Familiarity with claims processing in managed care and enrollment would be advantageous.

• Ability to manage multiple tasks while maintaining attention to detail and high-quality service standards.

Job Benefits

Presbyterian Healthcare Services offers a comprehensive benefits package for full-time employees, which includes:

• Medical, wellness programs, vision, and dental insurance.

• Paid time off and other wellness-related incentives aimed at promoting employee health, including participation in activities that support wellness.

• Retirement benefits and opportunities for personal and professional growth within the organization.

Salary Information

The maximum offer for this role is up to USD $20.00 per hour. The compensation may vary based on factors such as the applicant’s experience, training, and other considerations affecting internal equity within the company.

Company Background

Presbyterian Healthcare Services is a not-for-profit healthcare organization that has been serving the community since 1908. With nearly 14,000 employees, it is the largest private employer in New Mexico, managing a health system that includes nine hospitals and a statewide health plan. The organization aims to improve the health of the communities it serves and is committed to providing quality healthcare services to its members, reinforcing its reputation as a trusted healthcare provider in the state.

Conclusion

In summary, the Call Center Representative position at Presbyterian Healthcare Services is an excellent opportunity for individuals looking to engage in a meaningful customer service role within the healthcare sector. With a strong focus on patient satisfaction, this role not only offers competitive pay but also comes with comprehensive benefits, growth opportunities, and a chance to work within a well-respected organization dedicated to community health.

This job offer was originally published on himalayas.app