Peopleshores is hiring Support Reps/ Customer Service Representatives (CSRs) will review insurance and medical claim documents for eligibility determination or recertification. Responsibilities can include processing applications, updating case information, and processing case reviews. Work is conducted utilizing offline systems. Processes can be lengthy and intricate. CSRs must be adaptable as tasks vary throughout the day. Qualified candidates must have excellent reading and comprehension skills and be proficient in interpreting and applying federal and state laws, program policies, and procedures. The role demands excellent customer service and problem resolution. Positions are in call center setting but majority of the time is not taking inbound or outboung calls.
PeopleShores is an impact sourcing enterprise bridging digitalgap for companies through our services. Learn more and follow PeopleShores at Facebook & LinkedIN
Job Description
Answer questions from participants regarding initial and continuing eligibility for income maintenance programs related to medical services.
Gather, verify, evaluate, and enter necessary social, financial, and medical information to determine the need and eligibility for medical assistance into various applications.
Maintain complete and accurate computerized records of participant interactions including details of action taken and education provided.
Perform a variety of diverse tasks while continuing to maintain currency and accuracy of program requirements.
Ensure timely processing of participant inquiries/annual reviews to meet client needs and program mandates.
Explain and interpret agency policy, procedures, and rules governing public assistance programs to clients and other individuals.
Refer families, children, adults, or aged receiving assistance to other agencies or community resources, as necessary.
Meet or exceed daily standards for performance, accuracy, customer service, and quality.
Preferred Experience / Skills
Ability to operate a personal computer and use automated technology to establish and maintain case records.
Ability to maintain accurate and systematic records, to organize and prioritize the workload to meet assigned timeframes.
Skill in handling client behaviors such as fear, hostility, and aggression.
Ability to adapt to changes in policy, procedures and work assignments.
Ability to communicate effectively with applicants, recipients, the public, and other employees.
Operation Details:
Hours during paid training are 8:00-4:30 CST Must be able to work at Popular Bluff location M-F. Not eligible for remote work during training period.
Initial training period spans 6-8 weeks.
Time off requests cannot be accommodated during the training period.
Pay Rate: $16 per hour with full benefits after 60 days (Insurance, PTO, Sick Leave, Holiday Pay, and 401k option)
Background Check & Drug Screen Clearance
An extensive background check of all associates will be conducted.
Approval to work will not be made for individuals found guilty, pled guilty, or convicted of a felony substance-related offense within the past 5 years; perjury, false statements, fraud, or anyone who will negatively affect public confidence.
Drug Screening - Applicants must complete a 10-point urinalysis drug screen.
Learn more and follow PeopleShores at Facebook & LinkedIN
