Job Description

Job Description

Manpower is looking for a Remote Medical Customer Service Representative! As a Customer Service Representative, you will support the insurance membership line of business.

This is a work-from-home position! For this position, you must be available between the hours of 8 am - 8 pm Monday - Friday EST and MUST be located in North Carolina!

Job Description:

Process new member enrollments, member change requests, and terminations. May handle some non-standard enrollments.

Perform standard and moderate complexity group level enrollment for health and ancillary products.

Maintain membership records.

Address standard issues related to the administration of eligibility of subscribers/members based on federal/state guidelines and external and internal governing agencies.

Process billing inquiries and reconciliation. Research billing errors and perform or initiate reverse transactions as necessary.

Research and respond to enrollment errors by telephone or in writing, communicate errors, corrective actions being taken, and/or policies and procedures being enacted.

Receive and place telephone calls to answer questions or obtain information relating to membership and enrollment, group/individual records, and group/individual contracts. Handle general billing and enrollment inquiries from brokers, benefits administrators, and members.

Process back-end error reports for electronic enrollment

Hiring Requirements:

High school diploma or it's equivalent and at least 2 years of experience in the field or in a related area.

Has knowledge of commonly-used concepts, practices, and procedures within a particular field.

Relies on instructions and pre-established guidelines to perform the functions of the job.

Works well under immediate supervision.

A strong understanding of Microsoft Office

Strong understanding of Problem Resolution Skills

A strong sense of urgency and multitasking

Hiring Preferences:

Prior experience with Power MHS, Billing, Magic, Service First, Seibel, MACESS, Amisys, and/or Mobius preferred.

Prior experience with customer service in health insurance

Experience using Microsoft Office products.

Able to format errors in excel or HTML

Excellent attention to detail

Excellent problem solving and research skills

Reconciliation skills

Excellent verbal and written communications skills

Ability to prioritize work and manage time effectively

Ability to work both in teams and independently

Strong analytical and problem-resolution skills

Ability to adapt in a fast-paced environment and deal effectively with all customers

Must be dependable, organized, and flexible

If you are interested apply today! If you have further questions give us a call at 919-768-8472!