Customer Service Representative

Description:Minimum 1 years’ experience in a call center environment required. Experience in health/human services and knowledge of Medicaid preferred. Provide excellent customer service primarily by telephone to Medicaid Providers and/or Members. Assist customers with coverage/claims related questions. Accurately interpret benefits and policy provisions for beneficiaries for the providers. Conduct appropriate research and follow-up for prompt resolution of disputed claims. Essential Functions:Work efficiently in a high-volume call center while maintaining a professional, polite manner. Assist callers with coverage related questions; accurately interpret policy Analyze customer’s inquiries and determine steps for resolution, interpret benefit information, and claims processing accuracy. Keep resource information up to date and organized. Document calls in a clear and consistent manner in computer system. Conduct appropriate research and follow-up for prompt resolution of disputed claims. Relay information to appropriate departments and personnel using established communication channels and procedures. Must be able to type and talk at the same time and navigate through multiple screens Ability to maintain confidentiality and adhere to HIPAA requirementsSkills:Call Center, Customer Service, Insurance, Medicare, medicaid, microsoftTop Skills Details:Call Center, Customer Service, Insurance, Medicare, medicaid, microsoftAdditional Skills & Qualifications:Prior office or clerical experience.Ability to follow written policies and procedures.Ability to access and retrieve information using a PC and basic understanding of Microsoft Office products.Ability to follow procedural guidelines.'Ability to work on assignments with limited instructions from leadership.Good written and verbal communication skills, including professional telephone skills.Education and Experience:High School Diploma or equivalent; may hold 2-year post-high school Degree; may hold Bachelor’s degree.Typically, 1-2 years of working experience in related fields.Shift: 7am-4pm CST (Some will start at 7, some 7:30)Equipment will be shipped to themExperience Level:Entry LevelAbout Aston Carter: At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.