Posted on: October 7, 2021
Great customer service opportunity in Charleston. SC.
Your career starts now. We’re looking for the next generation of
health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get
care, stay well and build healthy communities. As one of the
nation's leaders in health care solutions, we offer our associates
the opportunity to impact the lives of millions of people through
our national footprint of products, services and award-winning
programs. AmeriHealth Caritas is seeking talented, passionate
individuals to join our team. Together we can build healthier
communities. If you want to make a difference, we’d like to hear
Headquartered in Philadelphia, AmeriHealth Caritas is a
mission-driven organization with more than 30 years of experience.
We deliver comprehensive, outcomes-driven care to those who need it
most. We offer integrated managed care products, pharmaceutical
benefit management and specialty pharmacy services, behavioral
health services, and other administrative services. Discover more
about us at www.amerihealthcaritas.com.
Under the direct supervision of the operations supervisor, the
customer service representative is responsible for responding to a
diverse membership and their providers as well as other customers
in a timely, professional and courteous manner. This includes
inbound and outbound member and/or provider phone calls or
correspondence regarding benefit, eligibility or customer issues.
Makes outreach welcome calls to new members and conduct Health Risk
Assessment Surveys as needed. Provides member education and
assists members with PCP selection and assignments. Assists
with access to care and wellness program. Follows internal
processes and procedures to ensure all activities are performed in
accordance with departmental and company policies and
Demonstrate passion for providing superior customer service to
our customers and continually seeks to understand the needs of
those we serve.
Create accurate and timely member documentation concerning all
inquiries taken in accordance to established protocols to ensure
resolution is provided and presented in a clear and accurate
Present and project a positive image of the company in and out
of the office to fellow associates, members, providers and the
community by being courteous, helpful, energetic, respectful and
Strive to resolve an inquiry on first contact while ensuring
that the inquiries have been addressed to the customer’s
satisfaction by using all resources in an efficient and timely
Provide feedback and/or solutions to supervisor to ensure
continuous process improvement and provide a better customer
Creates and supports an environment which fosters teamwork,
cooperation, respect and diversity.
Maintain an awareness of all product knowledge
Able to respond positively to support change within the
department and the company.
Willing to be flexible regarding job responsibilities and
schedule, not limited to but including, overtime and holidays, as a
result of contractual business requirements.
Routinely meet or exceed contact center key performance
Perform other duties as assigned.
High School diploma or GED required.
1 year prior customer service experience required.
Call center experience taking in-bound and/or out-bound calls
Prior experience in the healthcare or managed care industry
Excellent judgment and decision-making skills in dealing with
complaints and sensitive requests.
Ability to use PC applications in a MS Windows based.
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