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Portal Services Rep - Virtual - 1st Shift!

Portal Services Rep - Virtual - 1st Shift!

SKYGENMenomonee Falls, WI, United States
4 days ago
Job type
  • Full-time
Job description

Important things YOU should know :

  • Schedule : Monday - Friday, 8 : 00am - 4 : 30pm CST
  • Please know hours of operation are 8 : 00am - 6 : 00pm CST so shift could flex based on business need.
  • Fully Remote
  • Previous experience working with Dental, Vision or Medical Insurance a plus!

What will YOU be doing for us?

Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations.

What will YOU be working on?

  • Provide education to callers on the benefits of utilizing the member and provider insurance portals.
  • Service dental / vision members and providers using the member and provider portals offered by SKYGEN USA.
  • Provide feedback to multiple internal departments regarding issues found on the member and provider portals.
  • Ensure all calls are answered according to company and client guidelines.
  • Accurately document call information and resolution in internal systems while engaging with members and providers.
  • Properly identify potential issues that are not easily resolved and escalate appropriately to Manager.
  • Perform outbound calling projects as directed.

    • Additional Responsibilities :

  • Utilize multiple modules in the Enterprise System to research portal questions.
  • Work with internal departments to produce, maintain, and deliver portal training references and materials.
  • Work with call center to resolve outstanding follow ups generated from incoming calls.
  • Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues.
  • Act as a liaison between portal users and clients to resolve escalated issues.
  • Provide recommendations on system enhancements and process improvements to management.
  • Assist department with administrative tasks and additional duties as needed.

    • What qualifications do YOU need to have to be GOOD candidate?

  • Required Level of Education, Licenses, and / or Certificates

    • High school diploma / GED required

  • Required Level of Experience

    • 1 year of customer service experience (Call Center, Provider Relations).

  • Required Knowledge, Skills, and Abilities

    • Intermediate knowledge of Microsoft programs (Word, Excel, and email)

  • Excellent attention to detail
  • Excellent oral and written communication skills
  • Ability to successfully meet timelines for project plans
  • Strong navigation skills and the ability to multi-task

    • What qualifications do YOU need to have to be a GREAT candidate?

  • Preferred Level of Education, License, and / or Certificates

    • Associates degree / 2 year degree in related field

  • Preferred Level of Experience

    • 1-3 years of customer service experience (Call Center, Provider Relations).

  • Preferred Knowledge, Skills, and Abilities

    • Knowledge of contract terminology

  • Understanding of reimbursement methods
  • Knowledge of dental, medical and vision products and terminology
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    1St Shift • Menomonee Falls, WI, United States