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Call Center Representative

Codeforce 360

This is a Full-time position in Atlanta, GA posted April 29, 2021.

• Receive inbound phone calls from our members and prescribers
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity, and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing CD&A guidance
• Research, troubleshoot and resolve client application discrepancies using computer system
• Meet daily tasks through various forms and mediums of communication – written, verbal and/or by phone

• Availability for remote workspace audits (via webcam or phonecam) Inspection time less than 5 min
• Closed workspace (any room that can be closed by a door, office, bedroom, etc.)
• If the laptop or screen can be seen from a window it must be covered (shade, blinds, curtains, etc.)
• Highspeed and reliable Internet connection
• Quiet and focused work environment
• No personal responsibilities during working hour
• Avoid barking dogs or other domestic noises

Required Qualifications:
• Ability to effectively communicate with members and prescribers while managing multiple software systems
• Accountable and results driven
• Critical thinker/problem solver
• Receptive to constructive feedback and flexible in adapting to change
• Ability to effectively plan, prioritize, and organize time and workload
• Ability to execute successfully in a deadline-oriented, fast-paced, highly regulated environment
• Proficient in navigation of multiple computer applications
• Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors
• Ability to type more than 30 WPM

Job Requirements:

Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of PBM/pharmaceutical related work strongly desired
• 1+ years of call center experience
• 1+ years of healthcare background
• Team player with excellent communication skills both verbal and written
• Exposure to business domain is an added advantage
• Organizational skills including the ability to multi-task, set priorities, and follow up promptly
• Ability to work a flexible work schedule, including holidays and weekends

• High School Diploma, GED or equivalent required
• Bachelor’s degree in related field or equivalent work experience preferred