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Customer Services Representative I

Honolulu, HI

Order: 1219696
TempToFT

Job Title: Customer Services Representative I

Industry: Healthcare

Duration: Temporary, possible Temporary-to-Hire for the right fit

Hours: Mondays, Wednesdays, Thursdays, Fridays 8:00AM – 4:30PM; Tuesdays 7:30AM - 4:00PM

Location: Honolulu, HI

Parking: Not Provided

Pay Rate: $15.25/Hour

 

Note: Applications will only be reviewed for applicants currently living in the state of Hawaii and who are available for an interview with Staffing Solutions of Hawaii.

Description:

  • Provide complete customer servicing from receipt of inquiry

  • Initiating the appropriate action to provide the customer with a prompt and accurate resolution to the issue

  • Document, resolve, and/or escalate customer complaints appropriately, including but not limited to: eligibility, benefits, and provider relations

  • Use and maintain the Call Tracking system to document non-routine customer inquiries

  • Retrieve document records from the ELA or EDI Claim Viewer

  • Enter non-routine customer phone calls immediately and resolve within turnaround standards per call tracking policy, which is within 30-60 days

  • Obtain pertinent Coordination of Benefits information

  • Enter system memo and forward to Enrollment Services for determination of primary and secondary coverage

  • Verify and obtain updated demographic information from Members (subscribers of plan)

  • Service walk-in customers and relieve receptionist of duties

 

Requirements:

  • Able to navigate through internal and external computer systems including Microsoft Word and Excel, and have proficient PC keyboarding skills

  • Able to use acquired knowledge and willingness to learn new skills

  • Strong organizational skills

  • Planning/organizing: Must prioritize and plan work activities, use time efficiently and develop realistic action plans

  • Quality Control: Must demonstrate accuracy and thoroughness and monitor own work to ensure quality

  • Able to maintain confidentiality in daily operations

  • Able to work as a contributing Team Member towards achieving the goals of the department

  • Excellent interpersonal and communication skills

  • Problem resolution

  • Time Management: The ability to organize and manage multiple priorities

  • High school diploma or equivalent

  • HIPAA Privacy and Security

  • URAC Standards as applicable to position

 

 

ID# 1219696

 

All offers are contingent upon the successful completion of background and reference checks. In addition, the following health screens are required:

  • Drug & Alcohol Testing

 

 

Interested Applicants: Please visit us online at www.staffingsolutionsofhawaii.com to view additional positions. Applications will only be reviewed for applicants currently living in the state of Hawaii and who are available for an interview with Staffing Solutions.

 

Staffing Solutions of Hawaii:

Staffing Solutions of Hawaii is a local, award winning, and growing privately owned agency in Oahu. For more than 20 years, our personal approach to building our relationships with renowned companies ensures our employees enjoy competitive pay, stimulating careers and assignments, and excellent growth opportunities, with the chance for it to turn into full-time employment!

 

We are proud to be an Equal Employment Opportunity and Affirmative Action employer, including females, minorities, protected Veterans and those with disability.