Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Customer Service Representative

Expired Job

Amerihealth Caritas Health Plan Washington , DC 20319

Posted 3 weeks ago

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at


Under the direct supervision of the Operations Supervisor, is responsible for responding in a timely, professional and courteous manner to all customer (member, provider and other customers) inquiries. This includes outbound member and/or provider phone calls or correspondence regarding benefit, eligibility or customer issues. Makes outreach welcome calls to new members and conduct Health Risk Assessment Surveys as needed. Provides member education and assist members with PCP selection and assignments. Follows internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures.

You must be a resident of the District of Columbia to be considered for this role.

Principal Accountabilities:

  • Services calls and correspondence from members and/or providers; identifies and/or responds to inquiries, dissatisfaction, complaints and grievances. Documents all calls in inquiry tracking system. Applies established protocols to ensure resolution is provided and presented in a clear and accurate manner. Facilitates problem resolution and acts as a customer advocate.

  • Conducts telephonic outreach to new plan members to conduct a new member welcome call as well as conducts the Health Risk Assessment Survey as required by each state.

  • Establishes, retains, and deepens relationship with new and existing member and providers through inbound and outbound calls.

  • Accurately and concisely documents customer responses in the health care system with the ability to triage members, based on responses, to the appropriate area.

  • Makes follow up calls, and conducts additional research as needed.

  • Researches member/provider and/or enrollment issues utilizing department procedures, reference materials and internal and external systems. Accurately updates member/provider information in all appropriate systems.

  • Identifies member/provider issues and refers to appropriate departments. Monitors inquiries forwarded to other departments and follows through to ensure timely resolution. Follows up on outstanding inquiries and works with department staff to identify and resolve areas of non-compliance. Distinguishes between routine and significant issues and notifies management of any issue which could negatively impact service.

  • Reviews phone activity and quality reports to self-monitor performance, quality and productivity standards. Discusses deficiencies/problems with the supervisor to adjust behavior and work activities as appropriate.

  • Maintains a balance of productivity, quality and timeliness of job accountabilities.

  • Utilizes AT&T Language Line and the Telecommunications Digital Device (TDD) when necessary to service non-English speaking or hearing impaired members

  • Creates and supports an environment which fosters teamwork, cooperation, respect and diversity. Establishes and maintains positive communication and professional demeanor with other employees and clients at all times. Adheres to organizational policies and procedures; supports and carries out the Mission and Values. Demonstrates and supports commitment to corporate goals and mission.

  • Attends required training on an as needed basis.

  • Performs other related duties and projects as assigned.


  • High School diploma or GED

  • Associate Degree Preferred

  • 1-3 years customer service/contact center experience strongly preferred.

  • At least 1 year of outbound contact center experience, desired

  • Healthcare or Managed Care experience preferred.

  • Minimum 45 wpm typing skill preferred.

  • Working knowledge of PC applications in a windows based environment.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Customer Service Representative


Posted 1 week ago

VIEW JOBS 11/5/2018 12:00:00 AM 2019-02-03T00:00 Location: 2215 5th St NE, Washington, District of Columbia 20002 United States of America . Are you an enthusiastic, highly motivated person that would love to start your career in the retail industry with U-Haul? If you are looking for an excellent opportunity that will allow you to grow in an exciting work place; look no further. U-Haul is growing with more than 1700 Moving and Storage locations in the U.S. and Canada, it's no wonder our company has been an excellent source of career and personal growth opportunities for more than 70 years! We are seeking High Energy, Positive individuals that like to make customers smile! In this role you will be part of a driven team and working alongside with some of the top managers in our industry. As a Customer Service Representative you will enjoy flexible scheduling around school, sports and family life! You will work with other team members who have a similar passion for working with customers and making their day. You will be a part of a team that gives back to your community and environment! Our associates receive opportunities for growth and advancement and can be promoted into Assistant Manager and General Management positions! U-Haul meet our customers' needs and demands. U-Haul's needs for Customer Service Representatives are significantly greater on evenings, weekends, and holidays. Day to day duties of a Customer Service Representative: As a Customer Service Representative you will interface with U-Haul customers to identify what they are looking for so that you can recommend the best moving supplies or storage solutions for their moving needs. A Customer Service Representative will assist customers inside the U-Haul Center by educating them on our products and services, answering questions, and preparing rental invoices. Once properly trained, Customer Service Representatives may also assist customers outside on the lot as well by installing trailer hitches and light wiring harnesses on customer's vehicles, ensuring vehicle fluid levels are properly filled, performing clean-up of trucks, trailers, and other rental items, and accepting equipment returned from rental. Primary responsibilities include: * Interact with our guests in a friendly, fast, courteous and efficient manner * Attention to detail in order to promote positive customer interactions * Hear and sense customer needs and keep your manager and fellow team members informed * Complete training and maintain knowledge by participating in on-line and hands on educational and training opportunities * Take pride in every aspect of your work and perform it with energy and enthusiasm * Be a strong team player, with a commitment to continuous learning who provides high quality service to our customers Click on the link below to learn more about the job. U-Haul offers: * Very Competitive Pay * Flexible Hours * Military Veterans highly encouraged to apply * Uniforms Provided Requirements: * Valid driver's license and the ability to maintain a good driving record to operate commercial motor vehicles * Adhere to all local state and federal vehicular regulations while driving Education/Training: High School Diploma or equivalent Work Environment: The work involves moderate risks or discomforts which require special safety precautions, e.g., working around moving parts or machines, fumes or irritant chemicals. May be required to use protective clothing, or gear such as masks, goggles, gloves or shields. Physical Demands: The work requires some physical exertion such as long periods of standing, walking, recurring bending, crouching, stooping, stretching, reaching or similar activities, and lifting a minimum of 50 lbs assisted or unassisted. U-Haul is an equal opportunity employer. All applicants for employment will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, veteran status, or any other basis protected by applicable federal, provincial, state or local law. Individual accommodations are available on requests for applicants taking part in all aspects of the selection process. Information obtained during this process will only be shared on a need to know basis. U-Haul Washington DC

Customer Service Representative

Expired Job

Amerihealth Caritas Health Plan