Job Information
Independent Health Customer Service Representative in Buffalo, New York
FIND YOUR FUTURE
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.
This is a great opportunity to join Independent Health and our family of companies! We are hiring full-time customer service representatives to start on February 10, 2025.
Training: Approximately 10 weeks of on-site paid training Monday-Friday, 8am - 4:30pm (250 Essjay Rd, Williamsville, NY) .
Schedule: Associates will be assigned a regular shift between the hours of 8am and 8pm (shift preference discussed after the conclusion of training). It will be necessary, given business needs, to work occasional overtime which may include holidays and weekends.
Pay rate: $19/hr.
Benefits: As a full-time associate, you are eligible to receive benefits; Medical, Dental, Vision, 401K, and paid time off (PTO), including company paid holidays.
The Customer Service Representative position offers an opportunity to begin a career at Independent Health. All new employees who successfully complete training will be eligible to work a hybrid schedule - from home and from the office depending on business needs.
There is proven career growth showing that over 60% of CSRs are promoted to other roles within the department and our family of companies.
Overview
The Customer Service Representative (CSR) is responsible for displaying confidence, passion for service, and practicing empathetic listening while connecting to Independent Health members. The CSR actively listens, assesses needs and utilizes system tools and resources to address and resolve inquiries. In addition, the CSR makes appropriate process or regulatory determinations and follows escalation procedures when deemed appropriate. The CSR is called on to research complex issues pertaining to benefits, claims, plans, and eligibility across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the member.
Qualifications
High School Diploma or GED required.
Prior experience and success working in a customer service focused environment required.
Experience navigating multiple systems while interacting with a caller required. Previous experience working in a call center preferred.
Knowledge of CPT codes, ICD-9 coding, and medical terminology preferred.
Excellent written/verbal communication skills. Ability to communicate with internal and external customers effectively and efficiently. Must be able to work collaboratively.
Ability to think critically and listen with intent to understand.
Proficient in problem solving and proven ability to prioritize accordingly.
PC and Windows experience with proficient typing skills.
Strong organizational/time management skills.
Ability to assume responsibility and maintain confidentiality. Strong sense of accountability is required.
Flexibility to work additional hours as required by department. Flexibility in shift assignment required. Must have availability to work a shift between 8:00 a.m. and 8:00 p.m. during normal business hours. Weekend shifts may occasionally be required during open enrollment season.
Ability and willingness to meet with customers face to face at alternate locations when business needs require.
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.
Essential Accountabilities
Service Customers
Provide excellent customer service when responding to customers and de-escalate customers as needed.
Relay accurate and up-to-date information on policies and procedures and communicate a successful resolution to inquiries.
Document all calls accurately and timely.
Escalate determination issues to the appropriate resources.
Meet or exceed all quality, productivity, accuracy, and call identification goals as stated in the most current departmental policy.
Maintain Core Knowledge
Maintain technical knowledge regarding Independent Health’s contracts and benefits and working knowledge of policies, procedures, and updates daily.
Attend required training sessions as needed.
Provide accurate and up-to-date information to all customers by documenting all pertinent information into appropriate systems to meet regulatory agency standards.
Technology Requirements
Utilize multiple systems and tools to obtain needed information related, but not limited to:
Claims.
Enrollment.
Authorizations.
Finance.
Accounts Receivable.
Reference Screens.
Providers.
Ability to determine claim status and whether claim is adjudicated properly. Must have knowledge and ability to make claim adjustments using established criteria.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $19 hourly
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are a drug-free workplace. We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.