Portal Services Representative I

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    "ExternalDescriptionStr": "<p>&nbsp;<strong>Important things YOU should know:&nbsp;</strong></p><ul style=\"list-style-type: disc;\"><li>Training &amp; Production Schedule: Monday - Friday, 8:00am - 4:30pm CST</li><li>Please know hours of operation are 8:00am – 6:00pm CST so shift could flex based on business need.&nbsp;</li><li>Fully Remote</li><li>Customer Service in Dental or Health Insurance experience a plus!&nbsp;</li></ul><p>&nbsp;</p><p><strong>What will YOU be doing for us?&nbsp;</strong></p><p>Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations.&nbsp;</p><p><strong>What will YOU be working on?&nbsp;</strong></p><ul style=\"list-style-type: disc;\"><li>Provide education to callers on the benefits of utilizing the member and provider insurance portals.</li><li>Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA.</li><li>Provide feedback to multiple internal departments regarding issues found on the member and provider portals.</li><li>Ensure all calls are answered according to company and client guidelines.</li><li>Accurately document call information and resolution in internal systems while engaging with members and providers.</li><li>Properly identify potential issues that are not easily resolved and escalate appropriately to Manager.</li><li>Perform outbound calling projects as directed.</li></ul><p>&nbsp;</p><p><strong>Additional Responsibilities:</strong></p><ul style=\"list-style-type: disc;\"><li>Utilize multiple modules in the Enterprise System to research portal questions.</li><li>Work with internal departments to produce, maintain, and deliver portal training references and materials.</li><li>Work with call center to resolve outstanding follow ups generated from incoming calls.</li><li>Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues.</li><li>Act as a liaison between portal users and clients to resolve escalated issues.</li><li>Provide recommendations on system enhancements and process improvements to management.</li><li>Assist department with administrative tasks and additional duties as needed.</li></ul><p>&nbsp;</p><p><strong>What qualifications do YOU need to have to be GOOD candidate?</strong></p><ul style=\"list-style-type: disc;\"><li>Required Level of Education, Licenses, and/or Certificates<ul style=\"list-style-type: circle;\"><li>High school diploma/GED required</li></ul></li><li>Required Level of Experience<ul style=\"list-style-type: circle;\"><li>1 year of customer service experience (Call Center, Provider Relations).</li></ul></li><li>Required Knowledge, Skills, and Abilities<ul style=\"list-style-type: circle;\"><li>Intermediate knowledge of Microsoft programs (Word, Excel, and email)</li><li>Excellent attention to detail</li><li>Excellent oral and written communication skills</li><li>Ability to successfully meet timelines for project plans</li><li>Strong navigation skills and the ability to multi-task</li></ul></li></ul><p>&nbsp;</p><p><strong>What qualifications do YOU need to have to be a GREAT candidate?</strong></p><ul style=\"list-style-type: disc;\"><li>Preferred Level of Education, License, and/or Certificates<ul style=\"list-style-type: circle;\"><li>Associates degree/2 year degree in related field</li></ul></li><li>Preferred Level of Experience<ul style=\"list-style-type: circle;\"><li>1-3 years of customer service experience (Call Center, Provider Relations).</li></ul></li><li>Preferred Knowledge, Skills, and Abilities<ul style=\"list-style-type: circle;\"><li>Knowledge of contract terminology</li><li>Understanding of reimbursement methods</li><li>Knowledge of dental, medical, physical therapy and vision products and terminology</li></ul></li></ul>",
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