Customer Service Representative

Kelly Services, Inc. is a Fortune 500 company headquartered in Troy, Mich., providing employment to more than 700,000 employees annually, with skills including office services, accounting, engineering, information technology, law, science, marketing, light industrial, education, health care and home care. Kelly Services is an Equal Opportunity Employer.

For 70 years, Kelly Services has provided outstanding employment opportunities to the most talented individuals in the marketplace. Today, we are proud to offer a Customer Service Representative position for a top company located in Sun City West, AZ
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JOB DESCRIPTION:

This position supports the organization’s service center by providing daily customer service to physicians and/or staff, employees, health and dental plan members and dependents, payers, hospital staff, and the community at large.

1. Receives, documents, researches and responds to customer inquiries or complaints following established policies, procedures and standards.

2. Prepares and/or initiates a variety of correspondence/documents in response to inquiries or complaints, following departmental procedures.

3. Facilitates timely research and resolution of complaints through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives. May perform account reconciliation, billing and payment posting.

4. Educates customers on benefits programs by providing information related to the use of a plan, eligibility, appeals process and claim status concerns. This includes providing information pertaining to the managed care organization, related services, practitioners providing care, and members’ rights and responsibilities.

5. Multi-tasks between inbound customer calls and other prioritized projects or duties. Actively identifies opportunities to improve work processes.

6. Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.

7. Provides informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management.

Pay Rate: $12.00 an hour and will convert to $15.00 an hour after TTH period

• HS diploma or equivalent
• 1+ years’ experience in high volume call center/customer service or managed care environment

• Competitive pay
• Paid holidays
• Year-end bonus program
• Portable 401(k) plans
• Recognition and incentive programs
• Access to continuing education via the Kelly Learning Center Important information: