VIRTUAL ASSISTANT

WORK FROM HOME
SEND YOUR RESUME TO patty kate ---------- or sta rosa patrice ---------- (just remove the spaces and replace the word dot with a period) with the subject line CSR_ ---------- .

"Qualifications:
- At least HIGH SCHOOL GRADUATE with 6 months international voice experience
- At least 2nd year college undergraduate with 6 months international voice experience
- College graduate with or without BPO experience must have above average communication skills
- Willing to work on Night Shift
- flexible to work at home with 10 mbps internet connection


JOB DESCRIPTION:

Member Services:
The purpose of this role is to assist members with their concerns on eligibility, claims, billing, and general requests. This role is expected to advocate on behalf of our members in the most efficient and compassionate manner to meet their healthcare needs by building trust and resolving their issue/s the first time, every ---------- mber Advocates are responsible for inbound and outbound calls from members who are enrolled in Medicare benefit plan. They respond to general questions or take information from members related to but not limited to, health benefits, eligibility status/issues, claims inquiries, requests for member materials, primary care physician changes, prescription coverage, prescription benefits, ID cards and Open Enrollment Verification.
Responsibilities:
• Advocate for the member and/or caller by making the interaction hassle-free. Some examples would include contacting providers, pharmacies, or ancillary providers.
• Compassionately own problems through to resolution on behalf of the member in real time or through a comprehensive and timely follow-up with the member.
• Effectively ensures members are connected to appropriate specialists and/or enrolled in the correct programs, based on member’s needs and eligibility.
• Compassionately respond and resolve member service inquiries related to:
1. Pharmacy/Prescription benefits, eligibility and claims
2. Terminology and plan design
3. Home delivery billing inquiries
4. Correspondence requests
5. Accurately capture member grievances and file determination requests
• Compassionately educate members about their benefits including:
1. Offer Next Best Actions on account and follow up appropriately
2. Maximizing the value of their plan benefits
3. Prior-authorization requests and status
4. Research complex issues across multiple applications and work with support resources to resolve customer issues
• Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution, breaking barriers, compliance, customer follow-up, and attendance.
• Provide compassion and maximize use of community

SEND YOUR RESUME TO ---------- or ---------- with the subject line CSR_ ---------- .