Job Details

**Customer Service Representative**

Requisition ID: 165799

Department: 500710 Customer Services

Facility: Hometown Health Management

Schedule: Full Time

Shift: Day

Category: Clerical & Administrative Support

Location: Reno,NV

Position Overview Benefits Under the general direction of the Customer Services Director, Manager and Customer Service Supervisor, this position is responsible for keeping appropriate staff informed of customer opinions and viewpoints as well as needs.

The incumbent functions as a representative of Hometown Health to provide appropriate responses to its customers and consumers regarding Plan benefits to include, but not limited to eligibility, provider network, referral and authorization process, claims payment, as well as policies and procedures.This will be done in a consistently service-oriented manner to provide the highest level of satisfaction.

Exercises appropriate response procedures on inquiries, complaints and e-mails needing review and additional follow up prior to providing responses.

Has the ability to provide support and guidance in the event that Customer Service Supervisor, Manager, or Director is absent.

This position does notprovide patient care.

**Minimum Qualifications**

Requirements Required and/or Preferred Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.High school diploma is preferred and preference will be given to applicants who have earned a degree from an accredited college.

Experience:

Requires two to three years of experience in a position involving public relations or customer service.Two years of experience in a position directly or indirectly associated with group health benefits preferred.Ability to speak Spanish preferred.

Professional:

Must be proficient with Microsoft Office Suite, including Outlook,PowerPoint, Excel and Word andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Benefits **Location:** Reno , NV Under the general direction of the Customer Services Director, Manager and Customer Service Supervisor, this position is responsible for keeping appropriate staff informed of customer opinions and viewpoints as well as needs.

The incumbent functions as a representative of Hometown Health to provide appropriate responses to its customers and consumers regarding Plan benefits to include, but not limited to eligibility, provider network, referral and authorization process, claims payment, as well as policies and procedures.This will be done in a consistently service-oriented manner to provide the highest level of satisfaction.

Exercises appropriate response procedures on inquiries, complaints and e-mails needing review and additional follow up prior to providing responses.

Has the ability to provide support and guidance in the event that Customer Service Supervisor, Manager, or Director is absent.

This position does notprovide patient care.

**Minimum Qualifications**

Requirements Required and/or Preferred Education:

Must have working-level knowledge of the English language, including reading, writing and speaking English.High school diploma is preferred and preference will be given to applicants who have earned a degree from an accredited college.

Experience:

Requires two to three years of experience in a position involving public relations or customer service.Two years of experience in a position directly or indirectly associated with group health benefits preferred.Ability to speak Spanish preferred.

Professional:

Must be proficient with Microsoft Office Suite, including Outlook,PowerPoint, Excel and Word andhave the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.