Role Insights
This role of Client Service Professional is considered an essential position within the organization. Â The Call Center is the communication hub between our clients, patients, and internal departments. Â You will be required to accept incoming calls at a very rapid pace, problem solve any challenges presented with claims, authorizations for service, and various other issues. Â This is not a routine position as it requires energy, enthusiasm, and the desire to give 5 star quality service.
The right candidate should have confidence in their abilities as a problem solver, and have the poise to execute solutions in a timely fashion. Â You will also be responsible for making follow-up calls to resolve challenges throughout your day. Good time-management is essential. Â
Some of your Key Performance Indicators (KPI) will include the amount of inbound and outbound calls made/received per day, how many calls you will have needed to escalate to a manager versus concluding them on your own, and other various KPI’s. Â
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Primary Responsibilities
- Receive inbound calls from Health Providers, Health Plans, and patients requesting status updates and information on Claims, Authorizations for Service, Eligibility for Service, and various other related Medical questions
- Provide information on eligibility for medical services
- Transfer calls to appropriate departments when applicable
- Identify, research, and resolve any issues regarding Claims, Eligibility, Authorizations for Service, ETC.
- Make outbound calls for follow up purposes when needed
- Recognize and alert management of inappropriate trends in customer calls
- Recommend process improvements
- Document all calls and actions in AMM proprietary software
- Other duties as assigned
Required Skills and Abilities
- High School Diploma, GED required. Associates degree preferred
- 2+ years of call center experience is strongly preferred
- 1+ year in medical or healthcare environment preferred
- High energy and goal orientated
- Problem solving and time management skills
- Brilliant verbal and written skills
- Proficient in Word, Outlook, Excel
- Positive attitude with great interpersonal skills
- Outstanding work ethicÂ
- World-class customer service skills
- Ability to work Monday through Friday 8:00am – 5:00pm
AMM BENEFITS
When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:
- Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
- Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
- Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
- Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
- Career Development: Tuition reimbursement to support your education and growth.
- Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!
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