Call Center Agent

Independent Living Systems

Posted about 2 months ago

Full Time

, Florida

In Person

Smart Summary

Responsibilities

The Call Center Agent manages high-volume inbound and outbound calls to provide information, schedule appointments, and resolve member inquiries. They are responsible for maintaining accurate records, ensuring compliance with healthcare regulations, and delivering professional customer service.

Qualifications

You have a High School Diploma or GED and proven experience in a contact center environment, preferably within healthcare. You are able to manage high-volume demands, are familiar with customer service processes and phone systems, and possess basic clerical skills for data entry and record keeping.

Must Have Skills for ATS

HIPAA

Job Description

We are seeking a Call Center Agent to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

The Call Center Agent will serve as an essential point of contact between members, healthcare providers, and administrative teams. The Call Center Agent’s primary objective is to deliver exceptional customer service by efficiently managing both inbound and outbound calls, addressing inquiries, scheduling appointments, and resolving concerns with professionalism and empathy. The Call Center Agent will contribute to the smooth operation of the contact center by maintaining accurate records and adhering to established protocols and compliance standards. The Call Center Agent must handle a high volume of calls while maintaining a calm and courteous demeanor, ensuring that each interaction supports positive member experiences and organizational goals. Ultimately, the Call Center Agent’s efforts will help facilitate effective communication and support the delivery of quality health and social care to vulnerable populations.

Minimum Qualifications:

  • High School Diploma or GED
  • Proven experience working in a contact center environment, preferably within healthcare or a related field.
  • Ability to manage high volume contact center demands.
  • Familiarity with inbound and outbound customer service processes and phone systems.
  • Basic clerical experience including data entry and record keeping.
  • Ability to work flexible hours to accommodate contact center shifts.

Preferred Qualifications:

  • Associate's degree
  • Experience specifically in healthcare services or medical contact centers.
  • Knowledge of healthcare terminology and member privacy regulations such as HIPAA.
  • Certification in customer service or contact center operations.

Responsibilities:

  • Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Handle a high-volume of inbound and/or outbound calls, providing accurate information on healthcare services, scheduling, and member inquiries in a professional, courteous, and empathetic manner. 
  • Document call details, update member records, and utilize contact center systems and clerical tools accurately and strive for first call resolution in all interactions.
  • Collaborate with internal and external stakeholders to resolve issues and escalate concerns when needed. 
  • Ensure compliance with healthcare regulations, service level agreements, organizational policies, and confidentiality standards in all communications. 
  • Maintain established standards for schedule adherence, attendance, quality, member satisfaction, and performance (including average handle time and after call work time).
  • Demonstrate professionalism through reliability, teamwork, strong work ethic, initiative, organization, and ongoing participation in training and professional development.
  • Perform other duties as assigned.

Independent Living Systems

Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market. Independent Living Systems has been an industry leader in managing home and community-based programs for over 16 years. Leveraging ILS’ award winning technology platform, ILS provides assistance beyond the clinical realm at every stage of care from hospitalization to the treatment of chronic illnesses to personalized care management including nutritional support. As one of the country’s leading providers of Nutritional Support Services and medically tailored meals, ILS provides nutrition counseling and home delivered meals for individuals transitioning from acute settings to the home as well as for those combatting the effects of one or more chronic diseases. In partnership with health plans, providers, hospitals, and pharmaceutical and medical device companies, ILS provides solutions aimed at improving health outcomes while rebalancing costs. ILS’ suite of products and services include: MLTSS - Managed Long-Term Services Supports Suite of solutions including assessments, care management, and coordination of home and community-based services, care planning, and back-office support CCM - Comprehensive Care Management A streamlined solution for ongoing care management and care optimization targeted towards special needs populations and special needs plans Meals and Nutrition One of the nation’s largest nutritional providers delivering consistent, high-quality therapeutic meals to elderly and at-risk populations TPA – Third Party Administration A fully integrated business and technology offering to support all administrative and financial reporting requirements of health plans and risk bearing entities MSO – Management Services Organization Population and provider-based interventions to address utilization and monitor unit costs of services For more information please contact us via email at sales@ilshealth.com.
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