Customer Service Rep (x20) in San Antonio, TX at APEX Systems

Date Posted: 3/6/2018

Job Snapshot

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  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Job #:  816257

San Antonio, TX – Customer Service Rep – Job# 816257

Job Summary:

In this position you will be taking calls from people who are in a particular health plan about Medicare and Medicaid and answer questions they may have.


Job Details:

  • Hiring Company: Apex Systems
  • Job Title: Customer Service Rep
  • Compensation: $12.00 - $15.00 per hour (non-negotiable, paid weekly on W2 basis) & OT = time and a half
  • Hours/Days: Be flexible to work any 8 hour shift between 11:00am and 11:00pm
  • Location: State Hwy 151, San Antonio, TX 78251
  • Job Duration: 3+ months contract with possibility of conversion


Ideal Job Related Experience:

  • 3 years in a call center environment in some sort of healthcare related field.
  • Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner


Desired Soft Skills:

  • Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters
  • Provide assistance to members and/or providers regarding website registration and navigation
  • Educate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiries
  • Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
  • Process written customer correspondence and provide the appropriate level of follow-up in a timely manner
  • Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustment
  • Identify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standards
  • Work with other departments on cross functional tasks and projects
  • Maintain performance and quality standards based on established call center metrics including turn-around times


Hiring Requirements:

  • A background check will be conducted after a conditional offer has been made to the selected candidate.
  • Must be able to pass a drug test (no exceptions)