Noridian Administrative Services Fargo , ND 58102
Posted 2 months ago
Position is eligible for Remote / Work from Home opportunity
Department: Provider Contact Center - Iowa Medicaid
Talent Partner: Elizabeth Fleming
Telecommuting Eligible: Yes
Job Grade: N13
Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com)
Job Title
Customer Service Representative III
Job Summary
The Customer Service Representative responds to calls or written correspondence and serves as a direct point of contact for customers, assisting with information in response to various inquiries.
Key Performance Indicators
Excellent multi-tasking skills
Excellent customer service skills
Strong verbal and written communication skills
Essential Functions
Key Duties/Responsibilities/Accountabilities
Responds to customer inquiries promptly and accurately
Documents all inquiries appropriately
Understands and applies confidentiality and security guidelines
Maintains minimum production expectations while meeting defined quality expectations
Maintains knowledge of online reference information
Prioritizes work throughout the day and adapts to changes in workload as needed
Resolves complex customer inquiries
Investigates and tactfully resolves escalated customer calls
Directs requests and unresolved issues to the designated resources
Communicates and coordinates with internal departments
Provides guidance and mentoring for other departmental staff
Responds to complex provider and beneficiary inquiries from internal and external customers within the timeframes specified
Supports other departments by providing historical data
Creates and updates internal control documentation
Records, reports, and analyzes data
Corrects and adjusts errors in records
Provides training and coaching as identified
Attends and responds to representative override requests and emails
Monitors attendance and provides direction in supervisors absence
May support individuals and entities in their pursuit of agency records and documents under the Freedom of Information Act (FIOA) and Privacy Act as appropriate
May support public and government relations departments
Non-Essential Duties and Functions
Minimum Qualifications
Associates degree or equivalent work experience
Previous work experience in a healthcare provider or insurance environment and/or contact center experience
Ability to maintain confidential information in compliance with HIPAA regulations
Excellent data entry skills
Program training as required
Demonstrated problem solving skills
Preferred Qualifications
Above requirements and the following:
Ability to work flexible schedules
2 years' customer service experience working in a call center environment
Some departments may prefer Associates degree in Business Administration, Law or closely related field and 3 years' applicable Medicare work experience
Environment and Cognitive/Physical Demands
Office Environment
Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
Requires prolonged sitting and telephone use
Requires the use of office equipment such as computer terminals, telephones, copiers and printers
Infrequent lifting to 15 pounds
Infrequent stooping
Segregation of Duties
Every employee is responsible to perform their duties and responsibilities in accordance with Noridian values, policies and procedures, including but not limited to: Segregation of Duties Principles, HIPAA, Security and Privacy, CMS requirements, the Noridian Compliance Program and any other applicable laws, rules and regulations.
Statement of Other Duties
This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functions. Employees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total Rewards Package:
Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
CMS Access Compliance and Regulation Contingency Statement
Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian's prime contracts with the Government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal Employment Opportunity
Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities as well as Sexual Orientation or Gender Identity.
Other Information
Below is the salary range for potential new hires.
Salary Range: $17.20 - $27.47 per hour
Other Compensation: Incentive Plan
This job will be closed 05/08/2024 at 8:00AM CST. No further applications will be considered.
Noridian Administrative Services