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Customer Service Representative I
<p>Customer Service Representative I</p> <p>Training hours: M-F, 9:00am-5:30pm EST</p> <p>Regular hours: M-F, 10:30am-7:00pm EST</p><p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"><strong>Customer Service Representative I</strong></p> <p style="margin: 0in; line-height: normal; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 10.0pt;">Who are we?</span></strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">See how <em>you</em> can make a difference with the support of strong leadership and a team environment.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">See Everything, Be Anything™.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 10.0pt;">What are we looking for?</span></strong></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">The Customer Service Representative I responds to customer service inquiries including, but not limited to, benefit information and timely fulfillment of requests for Versant Health Membership, Providers and Client Representatives. Acting as a liaison with internal and external Versant Health business partners to provide exceptional customer service experience.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 10.0pt;">Where you will have an impact</span></strong></p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Responsible for providing exceptional customer service, while answering incoming Member and Provider telephone inquiries in a manner that is always respectful and courteous</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Proficient use of proprietary systems to respond to customer inquiries and requests, adhering to defined customer service standards. (ex. knowledge of in/out of network co-pays, non-plan allowances/retail value as well as the various network relationships)</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Act as a liaison coordinating efforts between Member, Provider, Client Representatives and the manufacturing facilities</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Flexibility in work schedule as business needs require</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Ability to identify and perform requirements relative to specialty services (including but not limited to student proof, prior approval, medically necessary contacts, special voucher/authorization processing, and requesting enrollment cards as well as out-of-network requirements) and/or order entry</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Shadow perspective associates and new associates during initial instruction. This involves providing feedback to the hiring management team and trainer</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Ability to probe and identify the critical content of inquiries and route caller as appropriate. Achieve and maintain individual Key Performance Indicators (e.g. quality, adherence to schedule) at acceptable departmental levels while supporting organizational performance measures</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Perform in adherence to the company core values including but not limited to privacy, confidentiality and proprietary company policies and procedures (i.e. HIPAA)</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Participate in any training and educational activities necessary to fulfill at least the minimum requirements as specified within your departmental goals. This is in addition to the completion of any activities necessary for the maintenance of professional affiliations or organizational requirements</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Responsibility for reviewing educational notifications and remaining current on procedural changes</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Regular reliable attendance is required</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Meet and/or exceed all performance expectations</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Career opportunity with additional training in skills for higher level positions which will be considered minimal qualifications should open positions become available</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Other duties as assigned</span></li> </ul> <p style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;"> <strong>What’s necessary to do the job?</strong></span></p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Associate’s degree preferred</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Minimum 1 year of related call center experience</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Knowledge and experience in the insurance, health, or vision care industry preferred</span></li> <li style="margin: 0in 0in 0in 0px; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-size: 10.0pt;">Proficiency in Microsoft Office</span></li> </ul> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 10.0pt; font-family: Arial, sans-serif; color: #1c1c1e;">HIPAA & Security Requirements</span></strong></p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box;"><span style="font-size: 10.0pt; color: #1c1c1e;">All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be always protected. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.</span></span></p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box;"><span style="font-size: 10.0pt; color: #1c1c1e;">We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance. Benefits include medical, dental, and paid vision coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and beyond.</span></span></p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box;"><span style="font-size: 10.0pt; color: #1c1c1e;">Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.</span></span></p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="box-sizing: border-box; font-variant-ligatures: normal; text-align: start; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; margin: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box;"><span style="font-size: 10.0pt; color: #1c1c1e;">Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.</span></span></p>