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

📋 Description

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

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

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

• Elevate complex issues to leadership when necessary.

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

• Provide insights on recurring issues to facilitate process enhancement.

• 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 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 within the healthcare sector.

• Excellent organizational and communication abilities.

• Strong attention to detail.

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

• Ability to multitask and navigate 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.

• Learning and career advancement opportunities.

• Generous and flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.