Facets Experienced – Health Plan CSR's – Work at Home!

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BroadPath is immediately hiring Facets Experienced CSR’s to work from home! Our Facets Experienced CSR’s receive inbound calls from current and potential health insurance members responding to inquiries regarding benefit and eligibility information, claims, billing questions, and primary care physician assignments. They may also receive calls from providers with questions regarding member eligibility, coverages, benefit types, copays, and claims.

Job Duties

  • Receive and respond to telephone inquiries from members regarding eligibility, benefits, and authorization of service
  • Responsible for verifying member overages, benefit types, eligibility dates, and claim payment/statuses for providers
  • Estimate member’s out of pocket expenses for select procedures or services and explain member copayments
  • May be required to make outbound calls to assist members in coordinating care
  • Document all call information per approved operating procedures
  • Use tools and problem-solving skills to identify caller needs, including potential crisis calls, and route calls to appropriate resource per standard operating procedures
  • Identify and employ alternative approaches to communicate with callers when encountering barriers and escalate as needed
  • Ensure compliance with BroadPath, Client, and HIPAA regulations

Required Qualifications

  • FACETS system experience required
  • 1 year of Health Plan Member Service experience
  • Strong computer & telephone multitasking skills including the ability to effectively search for and type information on the computer, navigate through multiple windows and screens quickly and inputting information accurately while keeping pace with the call.
  • Excellent verbal and written communication skills
  • Ability to remain focused and productive each day though tasks may be repetitive
  • Reliable internet with 5 Mbps download and 2 Mbps upload speed (we provide you with the equipment)

BroadPath will provide you with a Laptop, 4 Port USB Hub, Bhive Web Camera, and USB Headset the length of your employment in this role.

Job Type: Full-time

Salary: $16.00 /hour

Experience:

  • Facets System: 1 year (Required)
  • Health Insurance Plan Member Service: 1 year (Required)

Work Location:

This Company Describes Its Culture as:

  • Detail-oriented — quality and precision-focused
  • Innovative — innovative and risk-taking
  • Outcome-oriented — results-focused with strong performance culture
  • Stable — traditional, stable, strong processes
  • People-oriented — supportive and fairness-focused
  • Team-oriented — cooperative and collaborative

This Job Is:

  • A job for which military experienced candidates are encouraged to apply

Apply here!

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