Customer Service Representative

Customer Service Representative
CANFIELD, Ohio (Onsite)
Summary: As an Inbound Customer Care Representative, you will be answering inbound calls. You will deliver a unique customer service experience utilizing your effective questioning and listening skills to determine the customer's needs and concerns, and ensuring a high level of customer satisfaction. This will involve providing excellent customer service support, and answering calls to properly handle account requests.
We are looking for individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis. You should also have the time-management and organizational skills necessary to effectively manage multiple expectations in a fast-paced environment. It is also vital that you display exceptional verbal and written communication, interpersonal and active-listening skills.
Roles & Responsibilities

• Follows claims processing guidelines, benefit structures, system procedures, and carrier guidelines
• Expedites problem files to appropriate department and does follow-up until resolved. May include some follow-up to insurers, providers, and agents
• Ability to answer phones in friendly, courteous, and professional manner.
• Analyzing claim payment and entering into computer
• Document required information into the system
• Meeting production and quality standards

Qualifications

• Prior claims experience helpful
• Must have analytical/problem solving capabilities
• Must be PC literate with 10-key proficient
• Excellent oral and written communication skills
• Knowledge of Medical terminology, CPT codes and ICD-10 diagnosis codes preferred

Thanks
Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.