Contact Center Provider Services

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

📋 Description

• Respond quickly and professionally to providers and members via inbound/outbound calls, emails, live chat, and various platforms.

• Handle inquiries with empathy, precision, and calmness.

• Listen attentively to questions and concerns, offering clear and accurate information in accordance with company policies and procedures.

• Elevate complex issues to leadership when necessary.

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

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

• Work collaboratively with team members and supervisors to coordinate support and appropriately route issues.

• Investigate claims and confirm insurance coverage.

• Address inquiries and ensure compliance with healthcare regulations.

⛳️ Requirements

• High school diploma or GED is mandatory.

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

• Excellent organizational and communication skills.

• Strong attention to detail.

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

• Capable of multitasking and navigating multiple systems at the same time.

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

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

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for professional growth through training and mentorship.

• Career development prospects.

• Flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Support for educational pursuits.

• Access to leadership and technical development academies.