Customer Service Rep 1-9.1
Location: Kansas City, Missouri
Description: BlueCross BlueShield of Kansas City is currently interviewing Customer Service Rep 1-9.1 right now, this vacancy will be situated in Missouri. For complete informations about this vacancy opportunity kindly read the description below. Mission Statement
"We will use our role as the area’s leading health insurer to provide affordable access to healthcare and to improve the health and wellness of our members."
Job Description
Summary of Position:
The Customer Service I position is responsible for responding to a variety of from members and their dependents, hospitals, providers, attorneys and agents. The incumbent will need to interpret multiple contracts in response to benefit and claim inquiries. Researches membership database and billing history to resolve membership issues.
Essential Accountabilities â€" Other duties may be assigned:
EACH DUTY AND RESPONSIBILITY MUST BE PERFORMED IN ACCORDANCE WITH INDIVIDUAL PERFORMANCE SCORECARD INQUIRY AND QUALITY STANDARDS.
Level 1 (Trainee)
- Attends and successfully completes designated Customer Service training programs and assessments. An employee must demonstrate proficiency in the duties and responsibilities listed under Level 2 for four months after the completion of Level 1 training before being moved to Level 2.
- Receives and responds to telephone calls, letters or walk-in customers.
- Enters record of inquiries and related correspondence in computerized tracking system.
- Researches policy information and membership records to resolve issues.
- Composes both verbal and written responses to inquiries.
- For FEP positions, must complete additional FEP training program for FEP system and procedures.
Supervisory Responsibilities (if applicable):
None
Qualifications â€" The following qualifications are representative of the basic knowledge, skills and abilities required to perform this job at a satisfactory level. Reasonable accommodations may need to be made to enable individuals with disabilities to perform the essential functions:
Abilities:
Reading
- Ability to read and interpret documents such as operating instructions, handbooks, and procedure manuals. (Both levels)
- Ability to compose simple and tactful correspondence. (Both levels)
- Ability to effectively present information in one-on-one and small group situations to customers, providers and other employees of the organization. (Both levels)
- Ability to add, subtract, multiply and divide using whole numbers and decimals.
- Ability to compute rates, ratios and percentages. (Both levels)
- Ability to apply common sense understanding to carry out instructions furnished in written and oral or diagram form.
- Ability to deal with problems involving several concrete variables in routine, standard situations. (Both levels)
Knowledge and Skills:
- Intermediate knowledge of Microsoft Windows
- Beginning level of skill with Microsoft Word
- Previous experience with on-line customer service applications helpful. (Both levels)
- Medical terminology is preferred. (Level 1)
- Must complete Customer Service training program (assessed at 90%) which includes FACETS, product knowledge, inquiry documentation and telephone skills.
- For FEP, must also successfully complete additional FEP training programs. (Level 2)
High school diploma or general education degree (1 year certificate from college or technical school is preferred), and 2 years of previous customer service, member services, or claims processing experience; or any combination of education and experience providing the types and levels of knowledge, skills, and abilities required by the job. For level 2, an employee must demonstrate proficiency in the duties and responsibilities listed under Level 2 for four months after the completion of Level 1 training before being moved to Level 2.
Certification, Licenses, Registrations Required:
None
Physical Demands â€" The physical demands listed are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.: Position requires sitting for long periods of time - more than 2/3 of each day. Requires the ability to speak and hear clearly in person or via the telephone. Position requires repetitive motion using a computer keyboard. Employee may be required to bend or stoop on occasion and may also be required to reach with hands and arms several times a day. Employee may occasionally be required to lift light boxes of materials weighing up to 20 - 25 pounds.
Work Environment - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.: Work is performed in an environmentally-controlled office setting, with no exposure to adverse conditions.
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If you were eligible to this vacancy, please give us your resume, with salary requirements and a resume to BlueCross BlueShield of Kansas City.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be started on: Wed, 08 Aug 2012 23:41:55 GMT
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