Call Center Representative Job at US Tech Solutions in Columbia

This range is provided by US Tech Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Overview

Base pay range: $17.50/hr - $17.50/hr

Duration: 3+ months (Possible contract to hire)

Job Description:

US Tech Solutions is seeking a Call Center Representative for a customer service role involving handling inquiries, processing claims and non-medical appeals, and supporting accurate and timely responses to customers by phone, email, web, or walk-in interactions. Onsite training will be conducted for 6 weeks, Monday through Friday, 8:00–4:30, subject to change.

Responsibilities

• Respond to customer inquiries, including non-routine cases requiring deviation from standard scripts and procedures.
• Conduct research as needed to resolve inquiries and adjudicate claims and/or non-medical appeals.
• Determine whether to return, deny, or pay claims following organizational policies and procedures.
• Maintain effective customer relations by providing accurate, timely, and courteous service across communication channels.
• Handle situations requiring adaptation of response or extensive research.
• Identify incorrectly processed claims and process adjustments or reprocessing actions per department guidelines.
• Examine and process claims and/or non-medical appeals according to business/contract regulations and internal guidelines.
• Enter claims into the system after verifying correct coding of procedures and diagnoses.
• Ensure claims are processed according to quality and production standards.
• Identify complex inquiries that cannot be resolved with standard procedures and refer to a lead or manager.
• Identify and report potential fraud and abuse situations.

Experience

• 2 years of customer service experience including 1 year in claims or appeals processing.

Skills

• Good verbal and written communication skills; strong customer service skills; accurate spelling, punctuation and grammar; basic business math proficiency.
• Ability to handle confidential or sensitive information with discretion.
• Proficiency with Microsoft Office.
• Work environment: Typical office environment.

Education

• High School Diploma or equivalent

About US Tech Solutions

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Recruiter’s Detail: Internal ID: 25-45169