Customer Service Representative

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

📋 Description

• Foster a welcoming atmosphere by genuinely engaging with every caller consistently.

• Build connections with customers through friendly and authentic conversations on each call.

• Collaborate with team members and co-workers in a supportive and mission-driven environment.

• Provide thorough and accurate answers to inquiries regarding customers’ healthcare accounts.

• Attentively listen to callers’ needs and offer suitable solutions.

• Uphold ethical standards, safety protocols, and compliance requirements.

• Manage 35–50+ inbound and outbound calls daily.

• Collaborate closely with claims staff to make necessary adjustments to claims.

• Perform additional tasks as dictated by business needs.

⛳️ Requirements

• Minimum of 2 years of customer service experience; at least 1 year in a TPA or payer environment.

• Preferred experience with self-funded plans.

• Bachelor’s degree or certification in medical billing/coding.

• Additional experience in TPA or payer settings is a plus.

• Excellent communication, multitasking, and computer skills (proficient in Microsoft Office).

• Capability to work remotely and manage extended periods of computer-based tasks.

🏝️ Benefits

• Comprehensive coverage for medical, dental, vision, and life insurance.

• 401(k) retirement plan with employer matching contributions.

• Health Savings Account (HSA) and Flexible Spending Accounts (FSAs).

• Paid time off (PTO) along with disability leave.

• Access to an Employee Assistance Program (EAP).