Customer Service Representative I (2796)
CaliforniaChoice · Wichita, KS
Job description(tap to read)
Purpose of Position: The Customer Service Representative I handles calls from customers to resolve, educate, follow-up and respond to questions regarding California Choice/Choice Builder plan administration and procedures groups, members, brokers and general agencies. Essential Functions: • Understanding of company policies and procedures as they apply to California Choice/Choice Builder plans. • Answers questions by telephone from groups regarding new hires, billings, rates, supplies, administrative procedures, etc. • Educates, via telephone, employees/dependents regarding PCP's, ID cards, RX problems, administrative procedures, dependent coverage, address changes, etc. • Follows-up on calls and emails from brokers regarding problems that their groups are experiencing with providers. • Ability to interact with brokers, general agents and sales representatives on a daily basis and must be able to answer questions regarding California Choice processes. • Responds to calls from providers to confirm eligibility and benefits. • Verifies enrollments and resolves issues with carriers. • Expedites processing of members enrollment with carrier if urgent services are needed. • Review and submit appeal requests from groups. • Review /Audit group billing and explain to clients in clear and accurate manner. • Document calls in call tracking system. • Departmental standard requires each Customer Service Representative to provide Service of Unequalled Excellence to all callers by maintaining an average of 90% or greater on Call Reviews. • Answer at least 100% of the daily call volume average. • Provide clear and explicit documentation while maintaining percentage at a level of 90% or higher daily. • Make busy time of 20 minutes or less per day. • Meet department standards for quality and quantity of work. • Meet department and team standards for turnaround times. • Adhere to all HIPAA (Health Insurance Portability and Accountability Act) and PHI (Personal Health Information) guidelines. • On-site regular attendance and punctuality are essential functions of the job. • Performs other business tasks or functions as assigned. Knowledge, Skills & Abilities Required: • At least two (2) years of customer service experience preferred. • Knowledge of the health insurance industry and customer service experience preferred. • Ability to handle irate customers in a courteous, patient, calm and positive manner while maintaining a high quality and quantity of work. • Experience in handling high call volume. • CA Life & Health license required. If successful applicant does not have insurance license, it is required to obtain one within six (6) months of date of hire. • Must have excellent verbal and written communication skills, especially under pressure. • Must be computer literate in Microsoft Word, Excel and Outlook. Accurate data entry skills a must. Typing at 55 WPM or more. • Must be able to work in a fast-paced environment where deadlines are a priority and handling multiple assignments simultaneously. • Problem Solving Skills required. • Must have a proficient knowledge of the English language. • Proficient knowledge of the Spanish language is a plus. If hired as a Bilingual representative, Language Assistance Certification is required every two (2) years. Additional Competencies: Action Oriented, Approachability, Customer Focus, Humor, Listening, Patience, Self-Knowledge, Technical Learning, Time Management, Written Communication In addition to the KSAs and Additional Competencies listed above, there are more competencies related to this position. Please refer to the Individual Contributor - Associate competency addendum. Educational Requirements: • High school diploma or equivalent required. Physical Requirements: Must be able to sit for extended periods of time and occasional standing and walking. Must have adequate hearing for phone work. Vision requirements include close vision and the ability to adjust focus. Must be able to communicate effectively in English. Must be able to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.
Build your own schedule. Take control of your career. Looking for RN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey enables independent Registered Nurses like you to bid on per diem RN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. Choose the facilities you want, on days you want, and bid the rate you want. • Better work/life balance - Don't want to work nights? Need Mondays off? Only want to work once in a while? No problem. Use ShiftKey to work as little or as much as you like. • Extra income - Use ShiftKey to pick up shifts whenever you need a little extra money, even if you have another job. Get paid the next day with a PayCard or go with weekly direct deposit. • Pick the right environment for you - PRN shifts are a great way to experience a variety of facilities. ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as: • Health • Dental • Vision • Life Insurance Role Requirements: • A high school diploma or GED. • A valid registered nurse license in the state of Kansas. About the Role: You know better than anyone that RNs are essential members of a facility's medical team. Your role is to keep patients in the know and on the road to recovery. Here are a few things you might do: • Perform and interpret diagnostic tests. • Prepare patients for treatments. • Administer medications. • Maintain and document medical records. • Counsel patients and their families on how to manage medical issues. Here's what ShiftKey users have to say about us: "This was one of the best choices I've made as a nurse. I love the freedom I have now!!" - LVN, Dallas, TX "Amazing! You make your own schedule. You get daily pay or weekly. And they always respond when you need them." - CNA, Springfield, TN "I've been using ShiftKey for years. It's a very good way to work. The people and facilities are respectful and helpful." - CNA, Kansas City, MO
ROI Medical Records Specialist - Remote
Sharecare · Wichita, KS
Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com . Job Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Essential Job Functions: • Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. • Date stamps all requests and highlights pertinent data to facilitate processing. • Validates requests and authorizations for release of medical information according to established procedures. • Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. • Maintain equipment in excellent operating condition (inside and out). • Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. • May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. • Maintains a neat, clean, and professional personal appearance and observes the dress code established. • Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. • Maintains working knowledge of the existing state laws and fee structure • Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs • Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. • Maintains confidentiality, security and standards of ethics with all information. • Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. Qualifications: • High School Diploma (GED) required • A minimum of 2 years prior experience in a medical records department or like setting preferred • Must have strong computer software experience – general working knowledge of Microsoft Word and Excel required • Excellent organizational skills are a must • Must be able to type 50 wpm • Must be able to use fax, copier, scanning machine • Must be willing to learn new equipment and processes quickly. • Must be self-motivated, a team player • Must have proven customer satisfaction skills • Must be able to multi-task Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
260 Day Administrative Assistant 5- Bookkeeper
Wichita Public Schools · Wichita, KS
260 Day Administrative Assistant 5- Bookkeeper Job Title: Administrative Assistant 5 Position Function: Provides support for Administration by performing a wide variety of duties, some of a confidential nature that may be required but not limited to answering phones, advanced computer functions, typing, electronic filing, copying, distributing mail, proofreading, preparing reports and scheduling meetings. Essential Performance Responsibilities: Drafting letters, memos, and reports for Administration Maintains databases, spreadsheets, letters/memos and presentations Scheduling appointments and meetings Assists in purchasing equipment and maintain inventory of current office equipment Assists with difficult and varied administrative tasks Additional Duties: Assists with additional duties as assigned by Supervisor. Equipment: This position may require the ability to use SMART boards and iPads in addition to basic office equipment such as computers, copiers, scanners, and fax machine. Must always comply with WPS guidelines for equipment use. Travel: Limited travel between schools and central offices may be required. Physical and Mental Demands: Work in standard office and school building environments Additional demands upon request of Supervisor Knowledge, Skills, and Abilities: Ability to communicate effectively both verbally and written, in order to communicate with others inside and outside of the organization for the purpose of giving and obtaining information Intermediate computer competency and the ability to effectively use Microsoft Word, Excel, Outlook, and PowerPoint, which will be determined and validated by testing Ability to comply with instructions, procedures, standards, and policies that are obtained within the organization using professional discretion Excellent time management skills, good judgment, problem solving, and analytical abilities in order to effectively meet deadlines Ability to write with remarkable clarity and consistency Ability to provide the highest level customer service Displays eagerness and the ability to learn new methods, procedures, and techniques Displays a significant degree of professionalism and confidentiality Ability to plan and organize effectively to achieve greater results Ability to conform to proper standards of professional dress and appearance Knowledge of company's mission, purpose, goals and the role of every employee in achieving each of them Interrelations: Contact with personnel within the district and with customers and vendors Will be working under the direct supervision of the department supervisor in order to complete day to day tasks Will be working with a diverse population requiring the ability to handle all situations with tact and diplomacy Must understand and respond appropriately to customer needs and maintain a positive attitude with all customers and colleagues Expected to interact with all internal and external customers in a friendly, professional manner and provide quick, responsive customer service Employee Punctuality and Appearance: In order for schools to operate effectively, employees are expected to perform all assigned duties and work all scheduled hours during each designated workday, unless the employee has received approved leave Any deviation from assigned hours must have prior approval from the employee's supervisor or building administrator All employees are required to report to work dressed in a manner that reflects a positive image of USD 259 and is appropriate for their position Qualification Profile: A High School education or GED A minimum of six months experience are required for this position FLSA Status: Non-Exempt Work Locations: Robinson Middle School 328 N. Oliver Wichita 67208 Shift: Day Job Schedule: Full-time Calendar : 260 - 260 Day Employees WPS Hours per Week : 40 hours Salary Range : Range G: $18.85-20.87 Benefits : Yes
Nurse Educator (USA Remote) The Nurse Educator will be responsible for providing in-depth pre-sales engagement, guidance for benchmarking, and exam strategies with customers on the implementation of clinical judgement exams offered by Turnitin. The person in this role should possess a passion for helping customers understand the value and approach of benchmark and pre-test exams for the NCLEX high-stakes examination. This role is an individual contributor role. Key Responsibilities: • Provide demos of ExamSoft clinical judgment exams as part of pre-sales motions with AEs and CSM. • Be the voice of experience for nursing programs on pre-test examinations for preparation for NCLEX examinations. • Provide nursing programs tips and strategies for implementing benchmark exams in nursing programs. • Assist newly adopted institutions in preparing to deliver clinical judgment examinations • Be a resource to internally and externally regarding nursing education assessment. Essential Qualifications: • Active, unrestricted RN license. • Bachelor's degree in Nursing (BSN). • 5+ years of clinical nursing experience. • Experience teaching in an undergraduate or graduate nursing program. • Familiarity with NGN item types and clinical judgment frameworks. • Ability to work as a partner with customer institutions in directing examination and benchmarking strategies. • Ability to distill complex ideas into powerful messaging and meet people where they are in their technology know-how. • Proven ability to work effectively both independently and in a team-based environment. • Self-starter with the ability to work in nuanced, ambiguous situations. • Strong presentation and communication skills. • Ability to navigate and effectively manage cross-functional partnerships with competing agendas. • Enthusiastic and engaging presence with customers. • Familiarity with remote presentation software and CRM tools a plus. • Ability to flex your work schedule to serve global clients in multiple time zones in North America. Desirable Qualifications: • Master's preferred (MSN, MEd, or related field). • Previous experience working with nursing program leadership structures. • Experience in developing and delivering high-stakes assessments in nursing education. The expected annual base salary range for this position is: $75,803/year to $126,338/year. This position is bonus eligible.