Austin, Texas, US, Las Vegas, Nevada, US, Johnstown, Pennsylvania, US Cypress, California, Baton Rouge, Honolulu, Hawaii, US, LouisianaTucson, Arizona, Irving, Texas, US
Based on employee reviews Customer service representatives salary is $17- $20 per hour
Read more related to employee benefits, and interview questions here
Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Our mission is to deliver world-class healthcare solutions to our communities every day. We need people driven to make a difference and ready to make an impact. People like you.
$1,000 Sign-on Bonus: Tucson, Arizona, US
What You’ll Do:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
The process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development.
Sign-On Bonus Baton Rouge, Louisiana, US-Sign-on Bonus: $2500 ($1250 at 90 days & $1250 at 6 months)
Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement, and call reduction
Our competitive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules, and dress flexibility.
Competitive pay
Paid Time Off, including paid holidays
Health Insurance coverage for you and dependants
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development.
Cypress, California, US-Sign-On Bonus: $1,000 ($500 upon start and $500 90 days after successful completion of training)
Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement, and call reduction
High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.
(HNGSS) -- Remote Available Johnstown, Pennsylvania, US
Position Purpose:
The Customer Service Representative (CSR) functions as a primary resource in handling TRICARE customer contacts via telephone, ranging from routine to complex. The CSR provides clear and concise education concerning the TRICARE medical benefits and government policies and procedures. The CSR assists beneficiaries with benefits information, referral and authorization requirements, claims, provider locations, and all other routine TRICARE issues. The CSR forwards escalated or crisis calls to appropriate staff members.
Answers phones and researches inquiries concerning benefits, enrollment, etc.
Researches and documents/updates databases such as a net to net changes, CCM documentation, etc.
Provides information to internal and external customers.
Regenerates copies of pertinent correspondence.
Processes additional assignments, such as PCM changes, address changes, ID card replacements, RAOC status calls and data entry, etc.
Demonstrates regular, reliable, and predictable attendance.
Other duties as assigned.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules, and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development.
Remote AvailableLas Vegas, Nevada, US
Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
The process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules, and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development.
Position Purpose: Austin, Texas, US
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
The process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement, and call reduction
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules, and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development.
Honolulu, Hawaii, US
Position Purpose:
This is the advanced level of Customer Service Representative, responsible for handling customer service questions and issues. Associates at this level handle escalated issues that require greater product and service knowledge, and a higher level of customer service skill. The Customer Service Representative takes calls and processes transactions, such as referrals, authorizations, etc. The Customer Service Representative also resolves urgent and high-profile problems from Beneficiary Counseling and Assistance Coordinators.
Researches and responds to inquiries from beneficiaries and providers, such as benefits, claims, eligibility concerns, authorizations, etc.
Handles escalated and high-priority customer service issues.
Resolves/de-escalates and/or escalates issues. Follows through with each issue to resolution by working with internal and external resources as needed.
Receives calls for referrals and authorizations transactions, reviews documents, and modifies authorizations/referrals as prescribed by written procedures. Documents transactions inappropriate medical management systems.
Receives urgent/important/high profile calls from Beneficiary Counseling and Assistance Coordinators (BCAC). Works with all available resources to resolve issues quickly and within customers’ expectations, confirms solutions with BCAC, tracks calls and solutions, and balances business decisions with customer needs.
Processes additional assignments, such as PCM changes, address changes, ID card replacements, RAOC status calls and data entry, and updates provider demographics/files, etc.
Writes responses to inquiries.
Collects and tracks data regarding escalations so trends and issues can be identified or analyzed.
Assists in training other Customer Service Representatives.
Demonstrates regular, reliable, and predictable attendance.
Other duties as assigned.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules, and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
Springfield, Oregon
Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
The process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around time
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement, and call reduction
Our competitive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility.
Competitive pay
Paid Time Off, including paid holidays
Health Insurance coverage for you and dependants
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare, or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.
Irving, Texas, US Sign-On Bonus: $1,000 ($500 upon start and $500 90 days after successful completion of training)
Position Purpose:
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner.
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
The process was written customer correspondence and provide the appropriate level of timely follow-up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Foundation Care:
Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement, and call reduction
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