Job description

Do you have a knack or the patience to help people?

Our CSR's help Members and Clients understand their Medicare medial insurance. The majority of our phone calls are inbound but there are some outbound calls as well. We don’t do cold calling, like some other call centers.

Ultimate Health Plans, Inc. (“UHP”) is a fast growing Medicare Advantage health plan with its headquarters located in Spring Hill, Florida. UHP plans provide all the benefits of Original Medicare Parts A and B, plus additional benefits not available with Original Medicare.

Position Summary: Increases customer satisfaction by providing professional and accurate responses to incoming inquiries, concerns, requests, and complaints regarding the network, plan benefits, eligibility, authorizations, plan guidelines, enrollment, programs, and processes, as well as claims and pharmacy issues. Customers include but are not limited to members, prospective members, providers, and agents. Shift flexibility is required to accommodate hours of operation (Monday – Sunday, 8 am – 8 pm), including occasional overtime and weekends during certain times of the year.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Understands and provides accurate information regarding Medicare Advantage products courteously and professionally.
• Asks appropriate questions and listens actively to customers to identify needs to resolve the inquires in a timely and professional manner.
• Conducts accurate research to resolve issues regarding Medicare Advantage products using appropriate systems and departments.
• Ensures first call resolution to resolve customer needs and concerns effectively.
• Adequately documents all calls/contacts in detail as required by Department standards clearly and concisely.
• Effectively translates healthcare-related jargon and processes into simple, step-by-step instructions customers can understand and act upon.
• Operates telephone ACD system.
• Attends all departmental meetings and training sessions.
• Reviews training/educational material and seeks clarification when needed.
• Acts as a liaison between the customers when appropriate.
• Maintains strict confidentiality of all sensitive information.
• Maintains compliance with all company policies and procedures.
• Refers unresolved issues to the next level and/or appropriate areas when necessary.
• Achieves and maintains acceptable performance levels according to the Call Center and Quality standards.
• Answers telephones and warm transfers to appropriate staff when needed.
• Utilizes documents using Microsoft Office and other applicable software, as designated by management.
• Performs general clerical duties to include but are not limited to: photocopying, faxing, mailing, and filing.
• Processes member material requests and performs other Customer Service related tasks and functions.

Education and/or Experience

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

Other Qualifications

Previous experience in Managed Care and Medicare preferred but not required. Type 45 wpm.

Job Type: Full-time

Pay: $17.00 - $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience level:

• 1 year

Shift:

• 8 hour shift

Weekly day range:

• Monday to Friday

Work setting:

• In-person

Ability to commute/relocate:

• Spring Hill, FL: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Customer Support & Client Services Occupations: 1 year (Preferred)
• Call center related: 1 year (Preferred)

Work Location: In person

jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.