Customer Service Representative

Cognizant
US - Edificio, HE-AFZ, Costa Rica
January 13, 2025

Job Summary

We are seeking a Senior Process Executive - HC with 4 to 6 years of experience in customer service. The ideal candidate will have a strong background in the healthcare domain specifically in provider and payer services. This is a work-from-home position with day shifts and no travel requirements. The candidate will play a crucial role in ensuring smooth operations and exceptional service delivery.

Responsibilities

Manage and oversee daily operations related to customer service in the healthcare domain.

Ensure timely and accurate processing of provider and payer transactions.

Handle escalated customer inquiries and resolve complex issues efficiently.

Collaborate with cross-functional teams to improve service delivery and operational efficiency.

Monitor and analyze performance metrics to identify areas for improvement.

Implement process improvements to enhance customer satisfaction and operational effectiveness.

Provide training and support to junior team members to ensure high-quality service.

Maintain up-to-date knowledge of industry regulations and best practices.

Develop and maintain strong relationships with key stakeholders.

Ensure compliance with company policies and procedures.

Prepare and present regular reports on operational performance to management.

Participate in team meetings and contribute to strategic planning initiatives.

Utilize technical skills to troubleshoot and resolve system-related issues.

Qualifications

Possess a minimum of 4 years of experience in customer service within the healthcare domain.

Demonstrate expertise in provider and payer services.

Exhibit strong problem-solving and analytical skills.

Show proficiency in using customer service software and tools.

Have excellent communication and interpersonal skills.

Display the ability to work independently and manage time effectively.

Be adaptable to changing priorities and able to work under pressure.

Hold a relevant certification in customer service or healthcare administration.

Have a strong understanding of industry regulations and compliance requirements.

Show commitment to continuous learning and professional development.

Demonstrate leadership qualities and the ability to mentor junior staff.

Be detail-oriented with a focus on accuracy and quality.

Exhibit a proactive approach to identifying and addressing operational challenges.

Certifications Required

Certified Customer Service Professional (CCSP) or equivalent certification in healthcare administration.

Read the full job description and apply online on the recuiter's web-site

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