Customer Service Representative
APR Consulting, Inc. has been engaged to identify a Customer Services/Call Center Rep
Location: Allentown, PA 18103
Position: Customer Services/Call Center Rep
Pay Rate: $24/hr
Duration: 26 weeks
Expected Shift: Onsite 8AM-4:30PM, 40 hrs/week
JOB SUMMARY:
Supports a positive service experience while handling member and provider inquiries via telephone, Customer Service portal, or written
correspondence.
JOB REQUIREMENTS:
– Fluency in Spanish (STRONGLY PREFERRED)
– High School Diploma/GED
– 2 years Call center experience
– 2 years Insurance and/or claims administration experience
• Ability to take the initiative to identify and carry out responsibilities to their completion.
• High degree of professional judgement and inter-personal skills at all levels and among all disciplines.
– banking background and credit background, analytic and customer services skillset will be successful
JOB FUNCTIONS:
– Handles 80 – 100 calls per day per rep
Performs ancillary customer service functions relative to claims, providers, recoveries, and forms or letter generations. Uses
multiple systems and screens to efficiently handle interaction.
•
Offers solutions that aid and facilitate a unique customer service experience, including First Call Resolution (FCR).
Anticipates needs; educates members and providers about related information to answer the unasked questions, e.g.
additional plan details, benefit plan details, member self-service tools, etc.
•
Engages caller to gather necessary information to guide through plan of benefits, answer questions regarding care needs,
and resolve issues.
Interacts with customers, vendors, and colleagues professionally to ensure questions are answered accurately and in a timely
manner.
• Assists with billing questions, claim adjustments, FSA/HSA account, COBRA payments, etc.
• Handles requests related to appeals and pre-authorizations.
• Meets all quality and adherence standards.
• Participates in team and individual discussions related to process improvement.
• Knowledge of insurance or claims administration.
Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.
This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.
Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!
APR Consulting, Inc., is one of the most trusted talent acquisition and workforce solutions providers in the United States. Known for exceptional responsiveness, agile strategies, and consistently high-level talent, the firm has become a go-to for organizations and managed services providers navigating complex change and urgent challenges. Since its founding in 1980, APR has transformed from a California IT-focused staffing firm to a full-service solutions provider filling a wide range of positions and serving over eight industries — including aerospace and defense, healthcare, IT, telecom, hospitality/gaming, sports/entertainment, government, and utilities –– in all 50 states, with a loyal roster of more than 850 specialized professionals.