Customer Service Representative

Johnstown, PA 15901

Posted: 07/16/2019 Job Category: Customer Service Job Number: 201013
PLEASE READ ENTIRE POSTING PRIOR TO APPLYING!
This position will be tentatively starting September 2019; with interviews starting the week of July 22nd

THIS POSITION REQUIRES ALL CANDIDATES TO BE ABLE TO PASS A GOVERNMENT CLEARANCE

**Must have excellent credit and clear background*

*Must be able to type at least 35 wpm*

HIGH SCHOOL DIPLOMA OR THE EQUIVALENT IS REQUIRED

ALL CANDIDATES MUST ALSO HAVE A FLEXIBLE SCHEDULE

JOB SUMMARY:

The Customer Service Representative (CSR) functions as a primary resource in handling customer contacts via telephone, ranging from routine to complex. The CSR provides clear and concise education concerning the programs medical benefits and government policies and procedures. The CSR assists beneficiaries with benefit information, referral and authorization requirements, claims, provider locations and all other routine plan issues. The CSR forwards escalated or crisis calls to appropriate staff members.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Answers phones and researches inquiries concerning benefits, enrollment, etc. Researches and documents/updates databases such as net to net changes, CCM documentation, etc. Provides information to internal and external customers. Regenerates copies of pertinent correspondence. Other duties as assigned.

QUALIFICATIONS:

Exposed to confidential information and expected to maintain confidentiality at all times; must adhere to HIPAA rules and regulations. May be required to work outside of normally scheduled hours as mandated by the client, project and/or workload (e.G. Evenings, weekends, and/or holidays).May be required to maintain established work pace, meet deadlines; may have last minute urgent requests. Physical activity may include: twisting, reaching, kneeling, bending, stooping, squatting, crawling, grasping, grabbing, pushing, pulling, repetitive motion, climbing, etc. Required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned. Required to have hearing ability to receive detailed information through oral communication. Required to have speaking ability to express or exchange ideas.Constant concentration may be required on various subjects by listening, reading and thinking clearly. Interaction with others may be required. May need to listen, think, and speak in order to interact with others. Business interactions and behavior between coworkers and/or external customers are required. This may require face-to-face or telephone interactions.Thinking at work may include listening, learning, analyzing, evaluating, and the ability to interpret what is seen and/or heard, or to link information from one issue to the next. Constant computer usage including typing and/or eye strain.Constant repetitive arm, wrist, hand and finger motions -- making repetitive movements (e.G. Key boarding, filing, data entry).Constant phone usage; headsets may be required. Constant amount of time spent working in a loud office environment with frequent interruptions/distractions. Constant sedentary work (desk bound or seated).Constant reading is required via computer screen and/or bound printed materials.
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