Top 63 customer service representative Jobs in roanoke rapids, nc

MRS Provider Support Line Representative (Mon-Fri, Remote NC)
Vaya Health —North Carolina
- $54,007.07 - $64,001.60 a year
- Full-time
- Remote
- HIPAA
- Bachelor's degree
- 2 years
6d
Customer Service Associate I
Family Dollar —Roanoke Rapids, NC
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Grocery store
- Health insurance
- Dental insurance
Cashier/Customer Service Representative
Drugco Discount Pharmacy —Roanoke Rapids, NC
- Part-time
- Organizational skills
- In-person
- Communication skills
Quick Apply
6d
Customer Service Associate I
Dollar Tree —Roanoke Rapids, NC
- Part-time
- High school diploma or GED
- Ability to lift 50 pounds
- Grocery store
- Health insurance
- Dental insurance
Client Specialist
Highstreet Insurance and Financial Services —Roanoke Rapids, NC
- $18 - $24 an hour
- Full-time
- Computer literacy
- Administrative experience
- Computer skills
- Disability insurance
- Health insurance
Quick Apply
Customer Service Associate
Roses/Roses Express/Maxway/Bills Dollar/Super Dollar/Bargain Town/Super 10 —Roanoke Rapids, NC
- Part-time
- Merchandising
- High school diploma or GED
- Organizational skills
Quick Apply
Customer Service Associate
Big Lots —Roanoke Rapids, NC
- Part-time
- Merchandising
- High school diploma or GED
- Ability to lift 50 pounds
Quick Apply
Customer Service Rep
NATIONAL FINANCE COMPANY (NFC) —Roanoke Rapids, NC
- Overtime
- Office
- High school diploma or GED
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
PT Customer Service Leader
Food Lion —Roanoke Rapids, NC
- Part-time
- High school diploma or GED
- Accounting
- Communication skills
Call Center Supervisor
Rural Health Group, Inc. —Roanoke Rapids, NC
- Full-time
- Spanish
- Pass drug screening
- HIPAA
Quick Apply
Patient Service Representative - Jackson
Rural Health Group, Inc. —Jackson, NC
- Full-time
- Spanish
- Pass drug screening
- HIPAA
- Health insurance
Quick Apply
Customer Service Rep
Domino's —Emporia, VA
- $12.41 an hour
- Weekends as needed
- Quick service & fast food restaurant
- Communication skills
- Entry level
Quick Apply
Director Client Relationship Manager (CRM)
GeBBS Healthcare Solutions, Inc. —United States
- Full-time
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
Quick Apply
Retirement Implementation Specialist
Alerus Financial —United States
- $55,000 - $70,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
General Consideration (USA)
Teleperformance USA —United States
- Entry level
- Paid training
- Health insurance

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MRS Provider Support Line Representative (Mon-Fri, Remote NC)

Vaya Health -
North Carolina

Apply Now

Job Details

Full-time
$54,007.07 - $64,001.60 a year
6 days ago

Qualifications

Working with individuals with neurodevelopmental disorders
Arbitration
HIPAA
Medicaid health insurance
Bachelor's degree
Decision making
Adults with developmental disabilities
Managing projects
Medicaid regulations
Medicaid
Clinical confidentiality policies
Working with individuals with intellectual disabilities
Negotiation in dispute resolution
Disability services

Full Job Description

LOCATION: Remote – this is a home based, virtual position. Incumbent must reside in North Carolina or within 40 miles of the NC border.

Work Schedule: Monday – Friday from 9:30 am – 6:00 pm. This is a 40 hour per week position.

GENERAL STATEMENT OF JOB

The MRS Provider Support Line Representative is responsible for assisting providers with inquiries related to claims, contracts, authorizations, benefits, services, registries, and community resources. MRS Provider Support Line Representative provide appropriate screening, handling and routing of incoming phone calls with the goal to provide first call resolution when possible. MRS Provider Support Line Representative are trained in specific functional areas for provider services and are also trained to handle overall inquiries and provide high quality customer service. The role may also initiate outbound calls per established work queues, lists and assignments. The MRS Provider Support Line Representative is responsible for documentation of all calls and routing activities for follow up through defined workflows and processes. This job is subject to working holidays and holiday rotation as deemed necessary by the business.

Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.

ESSENTIAL JOB FUNCTIONS

Handle telephonic requests for assistance from network providers or potential network providers:

Interacts by phone with providers to provide information in response to inquiries, concerns, and questions
Performs initial triage of callers needs to determine appropriate handling of the call
Interact with providers to provide information in response to inquiries about services and other resources
Educates providers on resources available to providers on Provider Central
Provides navigational support to frequently used forms, training guides, and information related to contracting with Vaya Health
Authenticate providers, identify needs and connect callers to the appropriate One Touch workgroup for assistance. This includes, but is not limited to, inquiries related to claims, billing, authorizations, contracting, and credentialing.
Liaison between various departments to address questions and provide basic information about Vaya Health, including processes and where to find information
May be assigned responsibility for updating materials related to call center operation
Serves as a subject matter expert for Provider Support Line call center operations

Documentation in the electronic information system:

The MRS Provider Support Line Representative will complete progress notes, forms, reports and other documentation as required. The MRS Provider Support Line Representative will complete required documentation at the time of call. All documentation must be complete at the end of the workday or shift.

Specialized projects and reviews:

The MRS Provider Support Line Representative will assist in specialized Member and Recipient Services Departmental projects as requested by the MRS Provider Support Line Manager, Member and Recipient Services Directors, and/or Vice President of Member and Recipient Services.

Other duties:

Other duties as assigned.

KNOWLEDGE, SKILLS, & ABILITIES

A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. This will require exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts. Problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers. Must be highly skilled at shifting between macro and micro level planning, maintaining both the big picture and seeing that the details are covered.

MRS Provider Support Line Representative must have considerable knowledge of the MH/SU/DD service array provided through the network of Vaya providers. Additional knowledge in Medicaid 1115, Medicaid B and C waivers and Vaya’s accreditation requirements is essential.

The employee must be detail oriented, able to organize multiple tasks and priorities, and to effectively manage projects from start to finish. Work activities quickly change according to mandated changes and changing priorities within the department. The employee must be able to change the focus of his/her activities to meet changing priorities.

Training, learning and proficiency are tracked through the MRS Provider Support Service Line Representative Training Matrix and any other required means. Training may be delivered in a variety of methods and forums. MRSPSSL Representative must understand the following areas, in addition to other required trainings:

BH I/DD Tailored Plan eligibility and services
Trained on the requirements, policies and procedures of the BH I/DD Tailored Plan operating in North Carolina and are able to respond to all areas within the Provider Manual, including resolving claims payment inquiries in one touch.

QUALIFICATIONS & EDUCATION REQUIREMENTS

Graduation with a bachelor’s degree in a Human Services field and at least two years of experience working with adults or children with serious psychiatric, chemical dependence or developmental disability in a community mental health center or similar setting

Graduation with a Bachelor’s degree from an accredited college or university and at least four years of experience with working with adults or children with serious psychiatric, chemical dependence or developmental disability in a community mental health center or similar setting.

The Provider Support Line Representative must be qualified as a Qualified Professional according to 10A NCAC 27G .0104

Preference will be given to applicants with 2+ years of experience in a network management-related role handling complex network providers in the health care industry.

PHYSICAL REQUIREMENTS

Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.

RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.

SALARY: Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.

DEADLINE FOR APPLICATION: Open Until Filled

APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.

Vaya Health is an equal opportunity employer.

Work Schedule: Monday thru Friday, 9:30am-6:00pm

Apply Now

Refine Your Search

customer service representative jobs in roanoke rapids, nc

MRS Provider Support Line Representative (Mon-Fri, Remote NC)

Customer Service Associate I

Cashier/Customer Service Representative

Customer Service Associate I

Client Specialist

Customer Service Associate

Customer Service Associate

Customer Service Rep

PT Customer Service Leader

Call Center Supervisor

Patient Service Representative - Jackson

Customer Service Rep

Director Client Relationship Manager (CRM)

Retirement Implementation Specialist

General Consideration (USA)

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