Customer Care Associate I in Belle Isle, FL at Pride Health

Date Posted: 11/10/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Experience:
    Not Specified
  • Date Posted:
    11/10/2019

Job Description

Pride Health is teaming up with a client in Orlando, FL in search of a Customer Care Associate.

3-6 month contract

$15/HR

M-F: 9am to 5:30pm

Summary:

  • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls. 
  • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality. 
  • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction. 
  • Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies. 
  • Assists in the mentoring and training of new staff. 
  • Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal). 
  • Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. 
  • Demonstrates flexibility in areas such as job duties and schedule in order to aid in better serving members and helpachieve its business and operational goals. 
  • Educates providers on how to submit claims and when/where to submit a treatment plan. 
  • Identifies and responds to Crisis calls and continues assistance with the Clinician until the call has been resolved. 

Requirements:

  • 1-2 years call center experience
  • Pharm tech experience
  • Registered Pharm Tech in FL