Contact Center Provider Services

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Promptly and professionally engage with providers and members via inbound/outbound calls, emails, live chat, and various other platforms.

• Respond to inquiries with empathy, accuracy, and composure.

• Deliver clear and precise information in accordance with company policies and procedures.

• Refer complex issues to leadership as necessary.

• Record interactions, feedback, and resolutions in the CRM or case management system.

• Provide insights on recurring issues to aid in process improvement.

• Collaborate with team members and supervisors to ensure coordinated support.

• Direct issues to the relevant departments.

• Achieve or surpass KPIs, including call quality, handle time, customer satisfaction, script adherence, quality standards, and scheduled work hours.

• Investigate claims and confirm insurance coverage.

• Maintain compliance with healthcare regulations.

⛳️ Requirements

• A high school diploma or GED is mandatory.

• 1–2 years of experience in customer service, preferably in the healthcare sector.

• Strong organizational and communication abilities.

• Exceptional attention to detail.

• Capability to actively listen, demonstrate empathy, and respond to concerns from members and/or providers with compassion and clarity.

• Proficiency in multitasking and navigating multiple systems at once.

• Availability to work either from 8:00 AM to 4:30 PM or 8:30 AM to 5:00 PM EST.

🏝️ Benefits

• Opportunities for professional growth through training and mentorship.

• Flexible work arrangements.

• Support for learning and career development.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.