Customer Care Representative - SHP Customer Service - Day Shift - Full Time

Hours : Shift Start Time: 8 AM Shift End Time: 5 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $25.550 - $31.860 - $35.680 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Responsible for direct and timely communication between the Plan and Plan members, potential members, providers, employer groups, brokers, internal departments and external agencies. Maintains high level of knowledge regarding Plan products, premiums, benefits and procedures. Uses knowledge and judgment to select appropriate resources for assisting callers. Provides information on all aspects of Plan products, premiums, benefits, policies and procedures. Responsible for accurate problem-solving. Researches and resolves concerns. Required Qualifications H.S. Diploma or Equivalent Less Than 1 Year Minimum of six (6) months experience as a Customer Call Center Representative. Preferred Qualifications Associate's Degree Business administration or health care administration ( including courses of study in accounting, finance, marketing, and health care administration) 2 Years Customer service or medical office experience. 1 Year Experience working full time as SHP Customer Care Temporary CCR I. Other Qualification Requirements Medical office certification, to include medical terminology, preferred. Essential Functions Access patient data Documents all calls in the IDX Customer Service Module immediately. Verifies prescription drug eligibility, benefits, claims, and authorizations in PBM's MedAccess s