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CMS Provider Service Specialist

Conshohocken, PA | Temp to Perm

Post Date: 04/05/2017 Areas of Expertise: Call Center & Office Pay Rate: $17/hour

Essential Functions

  • Become a subject matter expert on all aspects of the Recovery Audit Contractor (RAC) processes.
  • Be available for incoming calls in a queue-based, call center environment with adherence to established scheduling.
  • Handle phone and written interactions within defined quality standards for criterion such as, but not limited to; correct use of grammar and spelling, professionalism, accuracy, and thoroughness.
  • Research and respond to all provider inquiries in a timely, thorough, and accurate manner while seeking to give them added value they did not anticipate.
  • Adhere to company policies, and established procedures for documentation and other operational processes.
  • Demonstrate solid problem-solving skills – learning from prior experiences while understanding unique circumstances that may warrant a different approach. Seeing beyond what a provider says and discern what they mean.
  • Utilize various Connolly systems to access claim/provider information as needed.
  • Adhere to established policies for authorization and authentication, maintaining confidentiality of proprietary Connolly information, data, systems, and findings.
  • Strict compliance with all HIPAA regulations regarding the safe-guarding of Protected Health Information and Personal Identifiable Information.
  • Demonstrate strong customer service tendencies with the ability to see through the eyes of the provider and balance decisions/actions with a solid understanding of business needs.
  • Hours: Monday - Friday 10am to 6:30pm

Competencies

  • Exceptional communication skills – both written and verbal
  • Prior experience in an in-bound call center environment
  • Excellent customer-service tendencies
  • Strong analytical/problem-solving skills
  • Can effectively organize multiple sources of work with the ability to multi-task – can manage interruptions while keeping focus on priorities
  • Ability to effectively listen, develop rapport, and creatively problem solve even when faced with a difficult caller – maintaining a calm and professional demeanor under pressure
  • Strong desire to learn with a demonstrated ability to learn new information quickly
  • Flexibility and adaptability when responding to changing priorities
  • Drive for results
  • Works well to develop rapport with diverse members of the same team
  • Strong keyboard and PC skills – ability to toggle between multiple applications, and develop efficient methods to organize the PC desktop. Working knowledge of Windows-based applications, databases, and software including Word, Excel, Outlook, and Internet Explorer is preferred
  • Responds positively to feedback and coaching – whether informal or formal through review of correspondence and recorded phone calls
  • Position requires 1-3+ years of related industry experience – customer service, healthcare, and/or claims/reimbursement.
  • Completed 4-year degree is strongly preferred.

 

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Nicole Alexopoulos
Staffing Specialist

Nicole places top talent in the accounting/finance, human resources, and office/call center areas. She has experience recruiting nationwide and assisting job seekers in their next career.
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