AlohaCare
Senior Customer Service Representative for Oahu, Maui, Kauai or Hilo
AlohaCare, Honolulu, Hawaii, United States, 96814
Apply online at
http://www.alohacare.org/Careers/Default.aspx
The Company:
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all.
The Culture:
AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
The Opportunity/Position Summary:
Provides in/outbound telephonic and occasional face to face service to AlohaCare members and providers, using the highest degree of expertise, courtesy and professionalism with the objective of retaining the customer's business and ensuring their ongoing satisfaction in service.
Essential Duties & Responsibilities:
Fields incoming member and provider routine and complex calls concerning benefits, services, claims and other inquiries.
Receives and completes member call backs regarding various company surveys, reminders or mailers.
Assists members in Primary Care Physician (PCP) selections and reassignments in accordance with regulatory agency and AlohaCare policies, and updates member records as needed.
Responds to all incoming inquiries relating to member eligibility and assists members in enrollment into the QUEST Integration program.
Maintains data integrity by entering and updating information in member and provider database; keeping accurate account of all telephonic transactions.
Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality.
Other related duties as assigned or requested.
Required Competencies & Qualifications:
High School graduate / equivalent
Minimum of 2 years of call center work experience
Minimum of 2 years health care work experience
Working knowledge of Microsoft Office (Outlook, Word, Excel, and Lync)
Preferred Qualifications:
Associate degree or post high school graduate training – especially in healthcare, insurance or customer service related fields
Prior managed care work experience
Physical Demands/Working Conditions:
Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled work day.
May require occasional lifting, up to 20 pounds.
Salary Range:
$20.00 - $25.00 an hour
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. We are an equal opportunity employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, related medical conditions and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, protected medical condition as defined by applicable state or local law, genetic information or any other characteristic protected by applicable federal, state or local laws and ordinances.
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http://www.alohacare.org/Careers/Default.aspx
The Company:
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all.
The Culture:
AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
The Opportunity/Position Summary:
Provides in/outbound telephonic and occasional face to face service to AlohaCare members and providers, using the highest degree of expertise, courtesy and professionalism with the objective of retaining the customer's business and ensuring their ongoing satisfaction in service.
Essential Duties & Responsibilities:
Fields incoming member and provider routine and complex calls concerning benefits, services, claims and other inquiries.
Receives and completes member call backs regarding various company surveys, reminders or mailers.
Assists members in Primary Care Physician (PCP) selections and reassignments in accordance with regulatory agency and AlohaCare policies, and updates member records as needed.
Responds to all incoming inquiries relating to member eligibility and assists members in enrollment into the QUEST Integration program.
Maintains data integrity by entering and updating information in member and provider database; keeping accurate account of all telephonic transactions.
Responsible for maintaining AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality.
Other related duties as assigned or requested.
Required Competencies & Qualifications:
High School graduate / equivalent
Minimum of 2 years of call center work experience
Minimum of 2 years health care work experience
Working knowledge of Microsoft Office (Outlook, Word, Excel, and Lync)
Preferred Qualifications:
Associate degree or post high school graduate training – especially in healthcare, insurance or customer service related fields
Prior managed care work experience
Physical Demands/Working Conditions:
Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled work day.
May require occasional lifting, up to 20 pounds.
Salary Range:
$20.00 - $25.00 an hour
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. We are an equal opportunity employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, related medical conditions and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, disability, protected medical condition as defined by applicable state or local law, genetic information or any other characteristic protected by applicable federal, state or local laws and ordinances.
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