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SERVICE REP 1 Job in Canton, Ohio US
Monster
 
 
 
 

Job Summary

Company
Aultcare Corp.
Location
Canton, OH
Industries
Government and Military
Job Type
Full Time
Employee
Years of Experience
Less than 1 Year
Job Reference Code
53184134

SERVICE REP 1

About the Job

Req# 17487

Aultman Health Foundation, CANTON, OH

AULTCARE ADMINISTRATION

Aultman Health Foundation

Full Time, Day Shift, 830-5 M-F






PURPOSE OF POSITION:

The purpose of the Service Rep I is the primary contact with all enrollees, prospective enrollees, providers, brokers and companies and as such, must consistently relay the positive aspects of AultCare to every caller. The representative is responsible for accurately, courteously and promptly transacting all callers in a highly professional manner.

RESPONSIBILITIES & EXPECTIONS:

* Responds to customer inquiries via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

* Answers incoming calls and emails in a courteous and professional manner.

* Analyzes problems and provides information/solutions.

* Places follow-up phone calls and emails to answer customer questions that are routine in nature.

* Based on department need, may be required to assist with walk-in clients

* Operates a PC or thin client to obtain and extract information.

* Documents inquiry outcomes for accurate tracking and analysis.

* Maintain up-to-date tools and resources and utilize in a manner which allows calls to stay within Customer Service department for resolution.

* Performs basic job functions with help from co-workers and higher level personnel on non-basic issues and complex inquiries.

* Requires basic knowledge of company services, products, insurance benefits, provider contracts, claims and pharmacy.

* Meets quality and performance metrics.

* Process Improvement: Continuously reviews, recommends and implements improvement steps, as needed or directed.

* Seeks supervisory guidance/approval as appropriate.

* Portrays professional image: follows dress code, communicates with internal and external customers in a professional manner, including appropriate verbal and written grammar.

* Promotes and demonstrates professional standards to enhance the development of the department.

* Practices ethical conduct.

* Meets acceptable attendance and punctuality expectations (excluding FMLA)

The above statements reflect the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent to this position.

All qualified applicants will receive consideration for employment without regard torace, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, or protected veteran status. AultCare is an EEO/AA Employer M/F/Disability/Vet.

QUALIFICATIONS:

* Education: High School graduate or GED.

* One year experience in insurance, healthcare or customer service.

* Individual must have a good command of the English language and have the ability to communicate effectively verbally and in writing.

* Ability to empathize and project a strong understanding of member/provider needs.

* Previous experience with Microsoft Word, Excel and Outlook.

* Ability to type a minimum of 40 wpm.

* Available to work 40 hours per week anytime within the operating hours of the department, which may include weekends and holidays.

PREFERRED QUALIFICATIONS:

* Education: Associate degree.

* One year experience in automated call center related to insurance or medical field.

* Knowledge of HMO, PPO and Medicare plans/benefits.

* Knowledge of medical terminology.

* Bilingual English/Spanish.

WORKING CONDITIONS:

* Office environment with moderate noise level

* Frequent sitting, use of hands/fingers across keyboard or mouse, and long periods working at a computer.

* Occasionally walking, standing, twisting/turning and reaching upward or forward during work day

AultCare is an Equal Opportunity Employer (EOE) that values and respects the importance of a diverse and inclusive workforce.  It is the policy of the company to recruit, hire, train and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, protected veteran status or disability.  We recognize that diversity and inclusion is a driving force in the success of our company.  AultCare is an Equal Opportunity Employer that will make reasonable accommodation to enable individuals with disabilities to apply and compete for employment opportunities for which they are qualified.  To request an accommodation, please email our Human Resources department at kbricker@aultcare.com , or call 330-363-6388, for further assistance.
 

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