Customer Associate
*This is a 6-month contract position
*Remote – Local to CA Residents only, please
*Monday – Friday 8 or 8:30 am – 4:30 or 5 pm
Description:
- Researches, articulately communicates medical information regarding a variety of services including educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI.).
- Meets key performance indicators and service standards while showing compassion to members and providers per values and mission.
- Identifies and responds to crisis calls with the appropriate resources.
- Facilitates routine referrals and triage decisions not requiring clinical judgment.
- Comprehensively assembles and enters patient information into the appropriate delivery system.
- Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help achieve its business and operational goals.
- Supports team members and participates in activities to help build a high-performance team.
- Assumes full responsibility for self-development and career progression; proactively seeks and participates in ongoing training sessions (formal and informal).
- Responsible for staying abreast of operational changes, updating oneself to ensure accuracy.
- Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operational problems and/or inefficiencies.
- Leads or participates in activities as requested that help improve Care Center performance, quality, and culture.
- Navigate systems, document customers’ comments/information, and forward required information.
- Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.
Top 3 Must-Have:
- Basic connectivity and internet troubleshooting experience, Customer service experience, Adequate hard-wired Internet speed (100-300 Mbps minimum).
- No WI-FI or mobile hotspot/internet. Must have a secluded and distraction-free work space
Top 3 Nice-To-Haves:
- Healthcare background, HIPPA experience
Experience:
- Healthcare experience, United Healthcare, Kaiser, Caremark, Call center experience
- 2 years of experience
Education:
- High School diploma/GED minimum
Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please you are ensure communicating within these guidelines and proper channels for the quickest possible interview consideration!
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