Medical Call Center Representative - Randstad : Job Details

To obtain and maintain a working knowledge of the basic plan provisions and multiple benefit schedules[ \n\t. To obtain and maintain a working knowledge of the basic plan provisions and multiple benefit schedules, as well as a clear understanding of the eligibility systems claim system, and the Reciprocity system (ERTS).\n\t. Respond timely and accurately to phone calls, e-mail, walk in participants, and correspondence by answering questions; explaining claim payments and claim denials; quote self-payment amounts; verify eligibility and/or benefits; research eligibility or claim issues; update eligibility with outside vendors.\n\t. Document all phone calls in the Customer Service module.\n\t. Perform various clerical duties (i.e., enter enrollment forms; process working spouse forms, process special fund claims; process disability claims, etc.).\n\t. Navigate and provide accurate information regarding FMCP website.\n\t. Monitor incoming calls and calls waiting via call management syst...Medical, Call Center, Representative, Technology, Staffing