Demant

SR Customer Service Representative

Department Birdsong
Job Locations US-FL-Jacksonville
Job ID
2022-17274

Overview

About Us


 


Birdsong Hearing Benefits™ LLC, is a hearing benefits manager that views hearing care as total care. We provide Medicare Advantage, including all lines of business in government programs, along with commercial solutions for the most under-utilized supplemental benefit: Hearing.


 


We are looking for dedicated, talented, and passionate individuals who want to join us in helping people awaken to the full sound of life. We are driven by the following values:


 



  • People focused, realizing it is all about our consumers and each other.

  • Collaborative with a strong team spirit, happy to work together to achieve greater results.

  • Intuitive and creative, generating ideas and solutions to transform the hearing care ecosystem.

  • Full of grit, wanting to work hard to achieve success.

  • A growth mentality, eager to adapt and be flexible in an ever-changing environment


 


Summary


 


The Sr. Customer Service Representative will provide support to team members by serving as a resource or subject matter expert, deliver exceptional experience to our members, and exceed our customer expectations by committing to and building strong relationships internally and externally.


 

Responsibilities

ESSENTIAL JOB FUNCTIONS


 


Key Accountability Metrics



  • Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers

  • Handle escalated calls, resolving more complex customer issues in a one and done manner

  • Assist with or deliver training and peer coaching

  • Perform quality audits to ensure excellent customer service

  • Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)

  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

  • Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed

  • Assist customers in navigating UnitedHealth Group websites and encourage and reassure them to become self-sufficient

  • Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member

  • Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues

  • Provide education and status on previously submitted pre-authorizations or pre-determination requests

  • Meet the performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance

Qualifications

PROFESSIONAL EXPERIENCE/QUALIFICATIONS


 


Requirements and Must Have Criteria



  • High School Diploma / GED (or higher) OR 7+ years of equivalent working experience

  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

  • All new hires will be required to successful complete the Customer Service training classes and demonstrate proficiency of the material

  • Ability to work full-time, Monday - Friday with the flexibility to work occasional overtime given the business need


Other Personal Characteristics and Experience



  • 1+ years of Customer Service Representative (CSR) experience OR 1+ years of experience in an office setting, call center setting or phone support role

  • Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product

  • Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed


EDUCATION



  • High School Diploma / GED (or higher) OR 7+ years of equivalent working experience

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