Call Center Representative
Company: PTS consulting services
Posted on: November 27, 2022
*Additional Information: *
Please note, this position is REMOTE and the hours will vary from
7:00 AM - 6:30 PM Central.
*Required Function 1:*
We are seeking a talented individual for a Subrogation Call Center
Representative who is responsible for answering all casualty or
estate call involving several state Medicaid beneficiaries or
deceased Medicaid beneficiaries. This includes, but is not limited
to calls from attorneys, paralegal, insurance agents, Medicaid
members and their families.
*Required Function 2:*
*Essential Responsibilities: *
--- Effectively review and update a variety of cases with current
and accurate case notes
--- Provide case status updates while speaking with multiple
parties such as attorneys and members regarding their case history,
current status and next steps.
--- Conduct all case document review and updates while speaking
with the member or attorney as needed
--- Maintain a daily system of providing timely and accurate
information required to move cases through the case management
--- Interact professionally (incoming and outgoing calls and
correspondence) with attorneys, insurance adjusters, medical
providers, court staff, recipients and family members and
--- Perform basic and advanced levels of document review to
identify current case status and case management and ensure case
progress through workflow
--- Meet department objective standards for Customer Service
--- Verify and adhere to HIPPA standards while speaking with
members and attorneys on the phone
--- Ensure all processes meet HIPAA and Government security
requirements with regards to sharing/storage/PHI (Personal Health
--- Open new cases and update all current case information
--- May have additional responsibilities as needed to assist with
case intake and verification process tasks
--- May have some training responsibilities limited to projects and
*Required Function 3:*
*Non-Essential Responsibilities: *
--- Performs other functions as assigned
*Required Function 4:*
*Knowledge Skills and Abilities: *
--- Ability to interface with all levels of people both internally
and externally in a professional manner.
--- Ability to communicate and comprehend well both verbally and in
writing, fluently in English.
--- Ability to be careful and thorough about detail including with
cite-checking and proofreading skills.
--- Ability to multi-task and prioritize effectively.
--- Ability to work proficiently with Microsoft Office, Word, and
--- Ability to work independently to meet objectives.
--- Ability to analyze information and use logic to address
work-related issues and problems.
--- Ability to perform oral presentations with good quality.
--- Ability to perform well in team environment, to achieve
--- Ability to maintain a high level of confidentiality and
--- Ability to function effectively under pressure and manage
deadline oriented project demands and multiple initiatives.
--- Ability to sit for long periods of time.
--- Ability to perform the following: lifting, bending, pushing,
pulling, stopping, kneeling, reaching, and carrying of light to
heavy items (40 to 50lbs).
--- Average manual dexterity work in use of a PC, phone, sorting,
filing and other office machines.
*Required Function 5:*
*Minimum Education: *
--- High School or GED required
--- Associates degree preferred
*Required Function 6:*
*Minimum Related Work Experience: *
--- 1+ years' experience working in a professional office
--- Experience working in a call center preferred
--- Experience in the insurance industry (casualty or health
insurance) a plus
--- Knowledge of Microsoft Word and Excel required.
--- Medicaid and/or Medicare knowledge preferred.
--- Bilingual (Spanish & English) a plus. Nothing in this job
description restricts management's right to assign or reassign
duties and responsibilities to this job at any time.
Job Types: Full-time, Contract
Salary: $10.90 - $15.00 per hour
* 8 hour shift
* Day shift
* Monday to Friday
Ability to commute/relocate:
* Irving, TX 75038: Reliably commute or planning to relocate before
starting work (Required)
* Call center: 1 year (Preferred)
* Customer service: 1 year (Preferred)
* insurance industry: 1 year (Required)
* Medicaid and/or Medicare: 1 year (Required)
Work Location: One location
*Speak with the employer*
Keywords: PTS consulting services, Irving , Call Center Representative, Other , Irving, Texas
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