The Electronic Services Representative provides incoming and outgoing administrative support for the Customer Service Call Center to include intake, processing, routing and response to digital/electronic, and facsimiles communication. Completes timely documentation of requests and processing through the Managed Care Platform and data systems (QNXT & Salesforce). The E-service representative must possess content knowledge in (Medicaid/CHIP), Commercial, and Affordable Care Act products, analytical skills to quickly identify issues and resolve them within the desired timeframes. The E-service representative will be responsible for serving our customers in a multi-faceted work environment, to include, but not limited to communication via email, facsimiles, and chat. This position is also responsible for completing customer requests to include, but not limited to primary care physician change, demographic updates, billing inquiries, and complex issues that include account research, reconciliation and the appropriate routing and resolution of member dissatisfaction and complaints.
High School Diploma or GED
Three years of experience in a customer service setting with high volume point of service contact. Individual should possess extensive knowledge of health insurance programs such as Medicaid, CHIP and Marketplace products.
Microsoft Word, Excel and Outlook
Writing /Composing/(Correspondence /Reports)
Excellent interpersonal, verbal, written, and listening skills.
Strong analytical organizational, prioritization and time management
Ability to work efficiently, pay strict attention to details and deliver high quality results in a deadline driven environment, while effectively managing associated stress.
Internal Number: 147275
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.