Customer Service Representative

Company: Bright Health
Location: Tempe
Posted on: January 22, 2023

Job Description:

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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives - apply to join our team.

SCOPE OF ROLE
The Customer Service Representative provides support to providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations.
ROLE RESPONSIBILITIES
The Customer Service Representative I job description is intended to point out major responsibilities within the role, but it is not limited to these items.

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• Answering incoming calls from providers and members
  
• Provides eligibility, claims, and authorization status
  
• Retrieves and responds to voicemails
  
• Collaborates with internal and external partners to resolve issues from providers or members as they relate to claims payment, authorization, and eligibility inquiries
  
• Creates, tracks, and completes Customer Service Incidents to internal departments to resolve caller issues
  
• Participate in the discovery and resolution of the root cause for recurring issues
  
• Ensure that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships
  
• Use customer service best practices to ensure a positive customer experience
  
• Meets daily, weekly, and monthly metrics as written
  
  EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE
  
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  • High School diploma or GED required
    
  • One (1) to three (3) years in the Health Insurance Industry preferred
    
  • One (1) to three (3) years of customer service experience required
    
  • Claims payor experience preferred, but not required
    
  • Bilingual English and Vietnamese
    
    PROFESSIONAL COMPETENCIES
    
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    • Strong communication skills, both verbal and written
      
    • Organized and able to prioritize work to meet deadlines
      
    • Able to work independently with little supervision
      
    • Able to understand regulatory and compliance rules
      
      WORK ENVIRONMENT
      
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      • Most work responsibilities are performed in an open office setting, carrying out detailed work sitting or standing at a desk/table and working on the computer.
        
        
        
        We're Making Healthcare Right. Together.
        We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
        
        Focusing on Consumers
        We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
        
        Building on Alignment
        We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
        
        Powered by Technology
        We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
        
        
        
        
        As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
        
        
        
        

Keywords: Bright Health, Tempe , Customer Service Representative, Hospitality & Tourism , Tempe, Arizona