Join us for an exciting career with the leading provider of supplemental benefits!
Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
As a Customer Service Representative your duties revolve entirely around providing empathy and compassion to Avesis’ Members, Customers, and Provider relationships. Responsibilities include, but are not limited to, developing and enhancing relationships, responding to inquiries, and investigating, analyzing, and resolving issues for our members. You will assist with eligibility verification, pre-authorizations, denials, along with claim status and payment amounts regarding their Dental, Vision, and ancillary benefits. This work will all be done using our internal Avesis resources and online portals. CSRs will be responsible for providing world-class customer service and maintain complete and accurate documentation of all interactions. Our chosen candidates will demonstrate responsiveness and a sense of urgency while resolving customer concerns and inquiries and maintain a high level of productivity and service quality standards while continually supporting individual, team, and company goals and initiatives.
**All hires for this position will start on Monday, September 30th, 2024**
Essential Job Functions:
- Answer 40-60 inbound calls, responding to inquiries ranging from routine to moderate complexity.
- Capture member information accurately and update systems with complete and concise data.
- Ensure flexibility, stay organized, and comply with constantly changing programs and business rules.
- Investigate issues that cannot be resolved at the time of initial call. Collaborate with internal teams to research and follow up with the Member until a resolution occurs.
- Comfortable working in the healthcare field, with an acute awareness for privacy, confidentiality and professionalism.
- Ability to determine proper issue escalation - joining forces with other internal departments for answers, therefore closing the loop and providing a solution for the Member.
Requirements:
- High School Diploma or Equivalent required.
- Minimum 6 months experience working in a high volume, call center environment required
- Healthcare call center customer service experience highly desired.
- Fluent (Reading and writing) in English and Spanish preferred.
- Exposure to Medicare, Medicare Advantage, or Medicaid insurance claims preferred.
- Ability to work 40+ hours/week, Monday - Friday, with availability between 7:00 a.m. and 9:00 p.m. Eastern Time required.
- Capacity to work unencumbered and independently in a home office/virtual environment required.
- Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 50Mbps download/10Mbps upload required.
- No mobile hotspots permitted.
- Proficiency to navigate multiple computer software/systems and multi-screen functionality with ease.
- Proficient computer skills including Microsoft Word, Excel, Outlook required.
- Able to maintain confidentiality and adhere to HIPPAA requirements.
- Active listening skills while providing exceptional customer service.
- Excellent verbal and written communication skills with the ability to document and present information in an empathetic, clear, way. Must be adaptable, flexible, and readily able to adjust to changing situations and with diverse populations.
- Overtime may be required at times during peak seasons.
FLSA Status: Hourly Non-Exempt
Hourly Range: $14.35 - $20.74
How to stay safe:
Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.
We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out.
To learn more about protecting yourself from fraudulent activity, please refer to this article link. If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.
We Offer
- Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
- Competitive compensation package.
- Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
- Life and disability insurance.
- A great 401(k) with company match.
- Tuition assistance, paid parental leave and backup family care.
- Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
- Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
- Employee Resource Groups that advocate for inclusion and diversity in all that we do.
- Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
Equal Employment Opportunity
At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!