Process Executive

Raleigh, WV - USA

Monthly Salary: Not Disclosed

Posted on: 31-10-2025

Vacancies: 1 Vacancy

Job Summary

Process Executive - Remote
Contract - 6months
Job Description:

This position requires individuals to perform the following duties and work as part of a team:

This position is for a Inbound Provider & Member services representative
With the goal of first call resolution the CSR Agent will address the needs of inbound callers according to the established call flows and work processes as supplied by the client and in accordance with accepted coverage guidelines ensuring all mandated government and state regulations are consistently met.
CSR agent must know when to reach out to internal partners and when/how to internally refer issues ranging from claims provider searches location of resources obtaining an interpreter processing billing payments referring enrollment issues and helping callers understand benefits.
With a high level of accuracy and attention to detail agents must have the ability to maintain professionalism while working within documentation guidelines on proprietary software utilizing dual screens and multiple applications. Agents are required to check two email accounts daily and stay up to date on call handling resources through continual document review and completion of mandated knowledge checks as assigned.
Agents will live-document all caller interactions in accordance with Quality Assurance Guidelines and will maintain an average monthly rating as defined for the site.
Agents will be in attendance for and will adhere to their slated schedule and will be either on a call or readily waiting for a call in order to maintain minimum Production and Adherence standards.
Exceptional attention to detail and willingness to learn adapt and interact with individuals who may be angry frustrated or calling in to complain while helping to ease the abrasion between the member and the plan.
Ability to work overtime and/or a flexible schedule based on business client and/or account needs.
Will be scheduled within the hours of operation of the business. Hours of operation is from 8am to 6pm MST seven (7) days a week.
Other duties as assigned.

Process Executive - Remote Contract - 6months Job Description: This position requires individuals to perform the following duties and work as part of a team: This position is for a Inbound Provider & Member services representative With the goal of first call resolution the CSR Agent will address...

Process Executive - Remote
Contract - 6months
Job Description:

This position requires individuals to perform the following duties and work as part of a team:

This position is for a Inbound Provider & Member services representative
With the goal of first call resolution the CSR Agent will address the needs of inbound callers according to the established call flows and work processes as supplied by the client and in accordance with accepted coverage guidelines ensuring all mandated government and state regulations are consistently met.
CSR agent must know when to reach out to internal partners and when/how to internally refer issues ranging from claims provider searches location of resources obtaining an interpreter processing billing payments referring enrollment issues and helping callers understand benefits.
With a high level of accuracy and attention to detail agents must have the ability to maintain professionalism while working within documentation guidelines on proprietary software utilizing dual screens and multiple applications. Agents are required to check two email accounts daily and stay up to date on call handling resources through continual document review and completion of mandated knowledge checks as assigned.
Agents will live-document all caller interactions in accordance with Quality Assurance Guidelines and will maintain an average monthly rating as defined for the site.
Agents will be in attendance for and will adhere to their slated schedule and will be either on a call or readily waiting for a call in order to maintain minimum Production and Adherence standards.
Exceptional attention to detail and willingness to learn adapt and interact with individuals who may be angry frustrated or calling in to complain while helping to ease the abrasion between the member and the plan.
Ability to work overtime and/or a flexible schedule based on business client and/or account needs.
Will be scheduled within the hours of operation of the business. Hours of operation is from 8am to 6pm MST seven (7) days a week.
Other duties as assigned.