Member Services Customer Service Representative

Company: Florida Health Care Plans, Inc.
Location: Daytona Beach
Posted on: August 4, 2022

Job Description:

POSITION SUMMARY: The Customer Services Representative (CSR) always presents a positive image to Florida Health Care Plans members. This position requires proficiency in answering calls, responding to emails, online chat, and in person support for FHCP members related to inquiries, complaints, grievances, & appeals. Must be accurate and efficient in researching benefits and assisting members in understanding their plan. The CSR must be timely and proficient in documenting all communication with members. QUALIFICATIONS:Education, skills and experience:High School Diploma a minimum two years of college preferred.Two (2) years experience with a Managed Care Organization preferred.Two (2) years experience in the health care industry, preferably in public relations, Customer Service, or compliance/state & federal regulations preferred.Comprehensive understanding of Benefits' and Patient Rights is preferred.Knowledge of Medical terminology preferred.Excellent verbal and written communication skills required.Must be able to type a minimum of thirty (30) wpm with ninety (90) % accuracy.Proficient with Microsoft Word/Outlook and basic keyboarding skills required.Working knowledge of ICD-10 and CPT coding preferred.Must be able to work independently and with others in a multi-disciplinary team environmentStrong problem solving, organizational and time management skills necessaryMust be able to diffuse difficult situationsMust be flexible in meeting the demands of all department operationsMust be capable of multitaskingMultilingual a plus

Keywords: Florida Health Care Plans, Inc., Daytona Beach , Member Services Customer Service Representative, Sales , Daytona Beach, Florida