Job Opening: Customer Service Rep

Hours needed including days of the week: 40 Hrs.

Start date: 5/11/2025.

Hourly wage: $17 Hr/$18 Hr Bllingual

Job description: Customer Service Representative

Shift: 10:30 AM to 7 PM. Monday through Friday.

Responsibilities:

 Inbound and Outbound Calls: Handle calls from providers, members, and their families, assisting them with appointment scheduling, benefit inquiries, and other vision insurance-related matters.

• Benefit Details: Provide members and providers with accurate details regarding vision benefits, including coverage, co-payments, and pre-authorizations.
• Appointment Coordination: Assist members in scheduling vision appointments, coordinating with store staff to ensure timely and appropriate care.
• Coverage Verification: Verify insurance coverage under various plans.
• Problem Resolution: Address complaints, queries, resolve issues, and escalate complex cases to the appropriate channels when necessary.
• Maintain Records: Keep detailed records of interactions, ensuring accurate documentation of member inquiries and resolutions.
• Assisting marketing with projects.
• CA support for network providers:  point of contact for claim review, request for visits, financial report, and analytic report of book of business.
• Additional tasks assigned by the Manager.

Requirements:

• Ability to work in our Plantation, FL office.
• Prior experience in a call center or customer service role is advantageous. 
• High school diploma or equivalent – College degree preferred. 
• Punctuality and consistent availability for assigned shifts.
• Excellent verbal and written communication skills, empathy, and patience are essential for providing top-notch service to our members and providers.
• Familiarity with CRM systems and basic computer skills.
• Familiarity with vision insurance terminology, benefits, and coverage.
• Accuracy in verifying coverage, processing payments, and maintaining records.
• Ability to handle a variety of inquiries and adapt to changing situations.
• Team Player. Collaborate effectively with colleagues, and other departments.