Kelly Services Job - 30133178 | CareerArc
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Company: Kelly Services
Location: Chandler, AZ
Career Level: Associate
Industries: Recruitment Agency, Staffing, Job Board

Description

Kelly Services has an immediate need for a Customer Service Representative for one the world's largest healthcare insurance companies in Chandler, AZ. This is a direct hire opportunity!

Job Summary:

This is a highly specialized customer service position with an emphasis on excellence, privacy, compliance and versatility within the health insurance industry. The position will identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.

Scope of the position includes accountabilities that support the following programs: 1. Utilization Management, 2. Member Relations and 3. Network Management.

Essential Functions and Responsibilities

• Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.

• Answer a diverse and high volume of health insurance related customer calls and correspondence on a daily basis.

• Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines.

• Explain to customers a variety of information concerning the organization's services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, etc.

• Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.

• Document and record facts in regard to inquiries and correspondence by updating files and system.

• Demonstrate and maintain current working knowledge of the required systems, procedures, forms and manuals.

Utilization Management-related accountabilities for staff include:

• Review of healthcare service requests for completeness of information

• Collection and/or transfer of non-clinical data

Utilization Management-related accountabilities for Provider Assistance staff include:

• Review of healthcare service requests for completeness of information

• Collection and/or transfer of non-clinical data

• Collection of defined clinical data using structured scripts or tools

• Activities that do not require interpretation of clinical information or decisions regarding utilization of any clinical criteria for handling of a request for healthcare services or treatment

• Travel may be required for employees in regional offices

The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

Required Work Experience

• 1 years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field

Required Education

• High-School Diploma or GED in general field of study

Preferred Work Experience

• 2 year(s) of experience in claim processing, customer service, call center, health insurance, medical office, or other healthcare-related field

Preferred Education

• Associate's Degree in general field of study

Preferred Licenses

• A valid Arizona driver license with an acceptable driving record if travel is required (e.g. regional employees)

Required Job Skills

• Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones

• Type 30 to 35 words per minute with 5% error rate or less

• Intermediate PC proficiency

• Required Professional Competencies

• Maintain confidentiality and privacy

• Practice interpersonal and active listening to achieve high customer satisfaction

• Compose and dictate a variety of business correspondence

• Interpret and translate policies, procedures, programs and guidelines

• Capable of investigative and analytical research

• Navigate, gather, input and maintain data records in multiple system applications

• Follow and accept instruction and direction

• Establish and maintain working relationships in a collaborative team environment

• Required Leadership Experience and Competencies

Preferred Job Skills

• Type >35 words per minute with 5% error rate or less

• Intermediate knowledge of insurance claim coding

• Intermediate understanding of dental and medical terminology

• Intermediate comprehension of anatomy and medical practices



Why Kelly®

At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

About Kelly Services

Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions.

Kelly offers a comprehensive array of outsourcing and consulting services as well as world-class staffing on a temporary, temporary-to-hire, and direct-hire basis.

Serving clients around the globe, Kelly provided employment to more than 540,000 employees in 2013. Revenue in 2013 was $5.4 billion.


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