CUSTOMER SERVICE REP – Healthsmart Preferred Care – Charleston, WV

About HealthSmart

HealthSmart is the premier provider of customizable and scalable health plan solutions for self-funded employers. We reduce costs and improve outcomes, all the while treating our health plan members with dignity and respect. But that’s just the beginning of our story – We make differences in peoples’ lives every single day!

We’re a company of innovators.

We deliver health benefit plans and solutions to provide worry-free, self-funded plan administration, quality coverage, and innovative care.

We provide care management services that change lives and helps employers and members take control of healthcare costs.

HealthSmartRx Solutions delivers extremely attractive pharmacy benefits with an Rx discount program.

Our Network Solutions group offers national, comprehensive provider networks to provide member access to the right care.

HealthSmart Casualty Claims Solutions leverages technology, robust information and unmatched experience to deliver innovative casualty claims management solutions with outstanding results.

We offer business intelligence and web-based reporting. Plus, we offer a variety of health and wellness initiatives and even onsite employer clinics.

POSITION SUMMARY

At HealthSmart, the Customer Service Representative will deliver excellent customer service through fast and accurate call processing, communication and coordination with other departments to resolve inquiries. This position is the first point of contact for telephone, email or chat inquiries from members and providers.

Schedule

• Ability to work between the hours of 8 AM – 7 PM EST (9 hour shift)

Required Skills

• 2 years customer service experience
• 2 years call center experience
• 1 year working in healthcare environment

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

• Handle telephone, email or chat inquiries in a timely and accurate manner to provide courteous and efficient service to
  callers.
• Document all communication activity in a clear manner.
• Interpret and communicate contracts, agreements or benefit and claim information utilizing the online system.
• Keep updated on all company guidelines, policies and procedures established.
• Adjust individual work flow to ensure hat all department goals are met.

Physical Requirements

• While performing the duties of this job, the employee is frequently required to sit, talk, and hear
• The employee is occasionally required to walk; use hands and fingers to feel, handle, or operate objects, tools, or controls; and reach with hands and arms
• The employee must occasionally lift and/or move up to 30 pounds.
• Specific vision abilities required by this job include close vision and the ability to adjust focus
• The work is performed primarily in an office setting
• The noise level in the work environment is moderate

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

HealthSmart provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.