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Customer Service Specialist in Healthcare

Work from home Full-time role Hiring

Description The Customer Service Representative is responsible for a variety of customer service functions including resolving pricing issues, placing orders, managing standing orders, handling return goods authorizations (RGAs), and providing contract information. This role requires a proactive approach to identify customer needs and work towards effective solutions while maintaining positive... relationships with clients. The individual must be adept at resolving customer issues using process expertise and knowing when to escalate concerns to higher management levels. Additionally, the role includes compiling and maintaining key performance indicator (KPI) reports for both internal and external clients. Company Culture and Environment Evernorth Health Services promotes a fun, friendly, and unique culture where employees are encouraged to bring their whole selves to work. The environment fosters teamwork and effective communication, ensuring that everyone feels valued and motivated. Career Growth and Development Opportunities Working at Evernorth Health Services opens up opportunities for professional development and career advancement through continuous learning and engagement with innovative health solutions. Detailed Benefits and Perks • Health coverage effective from day one (including medical, dental, and vision) • Paid time off (PTO) and holiday pay • 401K with company match • Tuition reimbursement to support further education • A fun and inclusive workplace culture Compensation and Benefits • Competitive salary based on experience • Health coverage effective from day one (including medical, dental, vision) • Holiday, PTO, and overtime pay • 401K with company match • Tuition reimbursement • Fun and friendly work culture Why you should apply for this position today This role offers the chance to be part of a team that truly makes a difference in patients’ lives. You will be essential in ensuring a seamless customer experience, contributing to the overall mission of improving health and increasing vitality. Skills • Excellent phone skills • Strong customer service, organization, and time management skills • Proficient in Microsoft Office Suite and Internet applications • Empathetic and fun-loving personality with a good sense of humor Responsibilities • Handle inbound customer calls to place orders and confirm eligibility • Research standing orders and verify contract administration • Resolve customer issues and answer queries related to order delivery • Ensure process efficiency by coordinating fertility plans and medications • Maintain KPI reports for internal and external clients • Escalate complex claims to Senior Billing & Reimbursement Specialists when necessary Qualifications • High School Diploma or GED required • Excellent communication skills, both verbal and written • Ability to demonstrate empathy and understanding towards customer needs Education Requirements • High School Diploma or GED required Education Requirements Credential Category • High School Diploma or GED Experience Requirements • Previous customer service experience preferred • Experience with CRM software and handling customer inquiries is a plus Why work in Lake Mary, FL Lake Mary, FL, is known for its vibrant community and excellent quality of life. With beautiful parks, top-rated schools, and a variety of shopping and dining options, Lake Mary offers a welcoming environment for both work and leisure. The area’s proximity to Orlando also provides access to numerous cultural and recreational activities, making it an ideal location for professionals seeking a balanced lifestyle Apply Job!

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