Customer Engagement Representative 1
Renown Health
- Reno, NV
- Permanent
- Full-time
- Provide excellent service utilizing basic knowledge of all services supported for Hometown and Renown Health.
- Follow established standard policies and procedures to complete pertinent tasks, meet customer needs, and work for one call resolution.
- Answering and routing of high volume of inbound/outbound interactions through multiple channels and computer software systems. Communicating with customers to resolve inquiries using various platforms.
- Coordinating healthcare services including appointment scheduling, updating patient records, obtaining authorizations, communicating with care teams, arranging transportation, paging on-call physicians, escalating patient concerns, general compliant and grievance resolution, basic navigation of the healthcare system, providing technical support, and payment collection.
- Provide appropriate responses to its customers and consumers regarding Plan benefits to include, but not limited to eligibility, benefit quoting, provider network, referral and authorization process, claims payment, as well as policies and procedures.
- Work effectively with professionals across the health system including providers, social workers, case managers, nurses, medical assistants, patient access representatives, insurance companies, and other third parties.
- Handle inquires related to compliance and regulatory auditing.
Requirements - Required and/or PreferredNameDescriptionEducation:Must have working-level knowledge of the English language, including reading, writing and speaking English. A college degree or equivalent experience is preferred by not required.Experience:Required to have strong customer services skills. Strongly preferred 1-2 years of experience in a position involving customer service, healthcare, or health insurance. Ability to speak Spanish desired.License(s):NoneCertification(s):NoneComputer / Typing:Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Ability to type average of 40 WPM. Experience with electronic medical record systems is a plus.