Kforce Customer Care Associate I in Maryland Heights, Missouri

Kforce has a client that is seeking a Customer Care Associate I in Maryland Heights, Missouri (MO).Summary:This position is a frontline service position providing assistance to the company's members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. The overall expectations are to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.Essential Functions:

  • Actively listens and probes callers in a professionally and timely manner to determine purpose of the calls

  • Researches and articulately communicates information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality

  • Resolves customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction

  • Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies

  • Assist in the mentoring and training of new staff

  • Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing trainings (formal and informal)

  • Comprehensively assembles and enters patient information into the appropriate delivery system to initiate the EAP, Care and Utilization management programs

  • Demonstrate flexibility in areas such as job duties and schedule in order to aid in better serving members and help the company achieve its business and operational goals

  • Must be able to maneuver through various computer platforms while verifying information on all calls

  • Must be able to talk and type simultaneously

  • Must be flexible in scheduling and comfortable with change - customer service is an ever-changing environment

  • Must be a proficient typist (average 35 WPM) with strong written and verbal communication skills

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:Hours