Contact Center Provider Services

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

📋 Description

• Respond promptly and professionally to providers and members via inbound/outbound calls, emails, live chat, and other communication platforms.

• Handle inquiries with empathy, precision, and professionalism.

• Offer clear and accurate information in accordance with company policies and procedures.

• Refer complex issues to leadership when necessary.

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

• Provide insights on recurring issues to facilitate process improvements.

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

• Direct issues to the appropriate departments.

• Achieve or surpass KPIs, including call quality, handle time, customer satisfaction, and adherence to scripts, quality standards, and scheduled working hours.

• Investigate claims and confirm insurance coverage.

• Maintain compliance with healthcare regulations.

⛳️ Requirements

• High school diploma or GED is required.

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

• Excellent organizational and communication skills.

• Strong attention to detail.

• Capability to actively listen, demonstrate empathy, and respond to member and/or provider concerns with compassion and clarity.

• Ability to multitask and navigate through multiple systems concurrently.

• Availability to work 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.

• Access to learning and career development resources.

• Flexible vacation policy.

• 401(k) with employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.