BHM Healthcare Solutions
  • 30-Jun-2019 to 29-Aug-2019 (EST)
  • Tampa, FL, USA
  • $30,000 to $38,000
  • Hourly
  • Full Time

Healthcare Insurance, 401k Plan, Paid Holidays


Customer Service Specialist

 

Location:  Tampa, Florida

 

Salary:     $30,000-$38,000 per year.  Compensation is commensurate with level of experience.

 

Looking to fill position quickly. Local candidates only.

 

BHM Healthcare Solutions, Inc. is seeking a Customer Service Specialist to join our Behavioral Health and Medical Review services organization.   

 

Requirements:

  • High School Diploma with equivalent experience in administrative coordination or Customer Service. LPN or Bachelor's Degree preferred.
  • Strong communication skills (verbally and in writing)
  • Experience in Customer Service or Healthcare administration preferred.

 

Responsibilities include, but are not limited to:

  • Evaluate all orders and ensure accuracy of all data entry, inform management for all incomplete orders, and verify all client information on order.
  • Process orders expediently by assessing availability of peer reviewers, assigning to appropriate reviewers for the order based on meeting pre-determined requirements
  • Schedule, coordinate, and transcribe peer-to-peer consults with peer reviewer and client's contact
  • Provide continuous monitoring, working with peer reviewers through order fulfillment journey to ensure efficient, quick turnaround time processing
  • Provide exemplary, responsive customer service by answering questions (verbally or written), providing information, and assuring appropriate follow-through and/or resolution.
  • Communicate effectively with team members and ensure compliance to timeframe and quality.
  • Provide direct subject matter expertise consultancy services to customers and special projects.
  • Resolve product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
  • Identify and assess customers' needs to achieve satisfaction.
  • Build sustainable relationships of trust through open and interactive communication.
  • Provide accurate, valid and complete information by using the right methods/tools.
  • Meet personal/team order processing turnaround times and call handling goals.
  • Maintain confidentiality in all aspects on the firms dealing and working.
  • Maintain HIPAA compliant confidentiality and data security measures when receiving or sending PHI.
  • Effectively communicate information and ideas with management, co-workers, clients and others using project management, written reports, telephonic and email communication.
  • Provide high level of customer service as a Liaison between Clients, Physician Reviewers and BHM.
  • Provide Queue coverage.
  • Enter time worked into BHM time system within two (2) business days and meet all submission requirements twice monthly.
  • Perform related duties as assigned.

 

About BHM:

BHM, established in 2002, provides behavioral health and medical review services and performance improvement consulting to health plans, providers, ACOs, TPAs, workers' compensation and other insurers nationally.

BHM services include, but are not limited to:

  • Physician Advisor/Peer Review Consulting
  • Accreditation Consulting
  • Strategic Planning and Organizational Analysis Consulting
  • Financial Consulting
  • Organizational Development Consulting

For more information about BHM, visit www.bhmpc.com.

 

BHM Healthcare Solutions
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