Managed Care Health Plan located in Brooklyn, NY is seeking several Bilingual Mandarin Customer Service Representatives for an immediate role. <\/p>\n
Responds to member and provider inquires and requests concerning complaints, benefits and claims, eligibility, and authorization inquiries within a call center environment in order to ensure high quality customer service to members and providers. <\/p>\n
Responsibilities:
\n\u2022\tReceives calls from providers, billers, office staff, vendors, PCW agencies and provider advocates.
\n\u2022\tResponds to provider inquiries and claim, eligibility, authorization, and appeal status.
\n\u2022\tRecords all calls and necessary details.
\n\u2022\tReceives requests for claims adjustments.
\n\u2022\tProcesses Correspondence, Faxes and Callbacks.
\n\u2022\tCompetency in multiple computer systems.
\n\u2022\tDocument a variety of member-related issues, such as: hospital admissions\/discharges, SNF admissions\/discharges, and CHHA episodes. Refer issues to Utilization\/Medical\/Care Management as appropriate.
\n\u2022\tRecord all calls and detail.<\/p>\n
Qualifications:
\n\u2022\tBachelors Degree
\n\u2022\tMicrosoft Office
\n\u2022\tExcellent verbal, communication and active listening skills
\n\u2022\tAbility to identify and resolve problems
\n\u2022\tAbility to work independently
\n\u2022\tExcellent time management and organizational skills
\n\u2022\tAssess member\/provider needs, identifies changes and refer appropriately
\n\u2022\tProficient in handling high volume of calls and type at least 40 wpm.<\/p>\n
For more: http:\/\/www.talenthubworldwide.com\/<\/p>\n","protected":false},"excerpt":{"rendered":"
Managed Care Health Plan located in Brooklyn, NY is seeking several Bilingual Mandarin Customer Service Representatives for an immediate role.<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"_links":{"self":[{"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/posts\/70368"}],"collection":[{"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=70368"}],"version-history":[{"count":1,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/posts\/70368\/revisions"}],"predecessor-version":[{"id":70369,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=\/wp\/v2\/posts\/70368\/revisions\/70369"}],"wp:attachment":[{"href":"http:\/\/www.asianinny.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=70368"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=70368"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.asianinny.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=70368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}