Customer Service Representative 1 - Full-time / Part-time

  Customer Service Representative needed in Franklin, TN

Integrity Staffing Solutions is currently seeking a Customer Service Representative in the Franklin area. Integrity Staffing Solutions provides comprehensive professional level staffing services on a nationwide basis and has been bringing companies and professionals together almost 20 years. At Integrity Staffing Solutions, we find the best, highest paying professional level positions within the top companies in the area. Most of the positions we identify will never be found in a newspaper or online because of the exclusive relationships we have with our clients who trust Integrity Staffing Solution’s recruiting team to identify top talent to fill their critical hiring needs. Finding a top paying job at a great company is often like signing the contract of a lifetime; let us get to work for you today!   

Responsibilities:

• Handles customer service inquiries and problems via telephone, internet or written correspondence. Customer inquiries are of basic and routine nature.

• Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and brokers.

• Explains member's policy benefits and coordination with Medicare

• Handle complaints (member/provider), via relevant recording/reporting system

• Ensures compliance with requirements of regional compliance authority/Medicare

• Determines applicable coverage provisions and verifies member plan eligibility

• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.

• Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

• Adheres to international privacy policies, practices and procedures

PER HM:

The hours may vary. Our call center is open from 7 am to 8 pm Central Time. They could have an eight hour shift that falls within our business hours.

Family Summary/Mission

To increase member satisfaction, retention, and growth by efficiently delivering competitive services to members and providers through a fully-integrated organization staffed by knowledgeable, customer-focused professionals supported by exemplary technologies and processes.

Additional Information:

• Hours: Full Time
• Pay: $16.00
• Employment Type: Contract
• Limited medical and dental coverage for contractors and their families available immediately
• Opportunities for professional growth.

Integrity Staffing Solutions is an Equal Opportunity Employer. All job offers are contingent upon the successful completion of a background check and drug screen.

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