Paramount Health Care, a ProMedica Health Plan, offers insurance products across six Midwest states. This Ohio-based company, headquartered in Toledo, has more than 685 employees dedicated to serving their health plan members.
Paramount offers Medicare Advantage and Marketplace Exchange health plans for individuals and families. Paramount maintains accreditation by the National Committee for Quality Assurance (NCQA) for their HMO and Medicare Advantage products.
In addition, Paramount has a full complement of insurance products for employers of any size, including medical, dental, vision and workers' compensation, as well as vocational rehabilitation, life-care planning and wellness.
As a part of ProMedica, Paramount is driven by ProMedica's mission to improve your health and well-being. ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. Paramount strives to provide an exceptional experience to every member. For more information about Paramount, please visit our website at paramounthealthcare.com.
REPORTING RELATIONSHIPS
Position reports to Team Lead and does not have any direct reports.
POSITION SUMMARY
The Call Center Specialist provides high-level customer service and effectively communicates with existing and prospective clients (dentists, members, agents, and employer groups) regarding claims, enrollment, and benefit service support.
ACCOUNTABILITIES
Manages multi-line phone system
Provides excellent customer service support by taking client information, and responding to questions regarding claims, enrollment, and benefits information.
Proactively seek solutions and problem-solve to resolve client issues relating to plan information, enrollment, and client material.
Responsible for communicating guidance and directions to assist members in navigating benefit information online including directing clients to company website to verify enrollment, benefit coverage, and how to submit claims/pretreatments.
Communicate website capabilities efficiently and innovatively.
Collaborate with other call center representative to improve customer service
Other duties as assigned.
REQUIRED QUALIFICATIONS
Education: High school diploma or equivalent
Years of Experiences: One to two years of call center experience or comparable experience
License: NA
Certification: NA
PREFERRED QUALIFICATIONS
Education: High School Diploma or GED required
Skills:
Strong knowledgebase of dental billing office practices, including practice management computer system experience
Demonstrate knowledge of ADA/CDT coding regulations and requirements Basic knowledge of insurance regulations.
Fluent in Spanish Language
Years of Experience: Minimum of two years' experience in telephone sales or telephone-based customer service or comparable experience
License: NA
Certification: NA
WORKING CONDITIONS
Personal Protective Equipment: NA
Physical Demands:
Sitting for extended periods
Dexterity of hands and fingers to operate a computer keyboard, mouse, and phone for data entry
ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org
Equal Opportunity Employer/Drug-Free Workplace
Requisition ID: 77817
