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Customer Service Representative

Company: Arcadia.io
Location: Rockford
Posted on: September 13, 2019

Job Description:

Arcadia.io is a leader in the Value Based Care services and operations for clients and insurance companies who have shared financial risk and managed quality of care. We represent the provider community while recognizing the needs of insurance-based products and benefits. Our existing clients have used our services to thrive in the real-world of managed capitation and bonus attainment.

Our Customer Service Representatives are responsible for answering the phones in a timely manner, being a skilled problem solver, have the ability to work well with others along with meeting set quality standards. Be courteous and professional while providing information to callers. Plus additional projects and assistance with mailing projects as needed.

What you'll be doing:


  • Assure the accurate and timely handling of client calls with total follow through
  • Provide excellent customer service
  • Answer client and provider questions including, but not limited to claims payment, status and coverage information
  • Interpret client health plan protocol
  • Backup to the claims processing area by assisting with reports and workflow queues as assigned
  • Check tracer documentation
  • Maintain accurate and complete call documentation
  • Maintain high level of professionalism
  • Return incoming calls
  • Other duties as assigned

    What you need to have:


    • 1 to 3 years customer service experience, preferable in the healthcare field
    • Health Care/Health insurance background preferred
    • Experience with BCBS HMOI or other insurance plans a plus
    • Use of multiple systems including Microsoft Office

    • Excellent verbal and written communication skills
    • Good attention to detail and commitment to quality
    • Positive mental attitude
    • Ability to multi-task
    • Deadline oriented
    • Ability to work independently with minimal supervision
    • Fluent in English and Spanish preferred

      This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

Keywords: Arcadia.io, Rockford , Customer Service Representative, Hospitality & Tourism , Rockford, Illinois

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