Healthcare Call Center Representative

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

📋 Description

• Manage a consistent influx of incoming healthcare-related calls

• Support members with Medicare enrollment, billing, claims, benefits, eligibility, invoicing, and associated services

• Clarify details regarding Medicare Part D, Part C Medicare Advantage, and Dual Special Need Programs (DSNP)

• Actively listen, respond to inquiries, and conduct callbacks or follow-ups as necessary

• Address member concerns and strive for resolution in a single call

• Navigate member plan benefits and assess client policies and procedures

• Utilize client-supplied resources to adhere to regulatory standards

• Employ various client systems to deliver precise information

• Effectively learn and operate 15–20 systems

• Manage an average of 30–40 calls daily

• Juggle multiple tasks and apply problem-solving abilities while providing courteous service

⛳️ Requirements

• At least 6 months of experience in customer service

• High school diploma, GED, or college degree

• Successfully complete a customer service assessment and a computer typing evaluation

• Attend mandatory paid training with 100% attendance

• Pass a background check successfully

• Flexible availability during operational hours of 7:45 a.m.–11:00 p.m. EST Monday–Saturday and 7:45 a.m.–8:00 p.m. EST Sunday

• Home internet connection with a minimum of 25 Mbps download and 10 Mbps upload speed

• Capability to connect the work computer to the home modem via Ethernet

• Satellite and wireless internet connections are not permitted

• A quiet, distraction-free, and clutter-free workspace with no other individuals, writing materials, or unauthorized electronics during work hours

• Must adhere to ongoing workspace monitoring

• Must reside in an eligible US state or municipality where the compensation structure aligns with applicable wage regulations

• Currently, not hiring in AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA, Minneapolis–MN, Washington, DC, or Denver/County of Boulder/Edgewater County–CO

🏝️ Benefits

• Paid time off accrued after 180 days of employment

• Medical, dental, and vision benefits available from the first day of employment

• Mandatory paid training program

• Employer-supplied equipment: computer, monitor, mouse, keyboard, headset, Ethernet cord, and power cables

• Possible bonuses or incentives based on business needs

• Health insurance coverage

• Optional dental and vision programs

• Life and disability insurance

• Retirement savings plan

• Paid holidays

• Paid time off (PTO) or vacation and/or sick leave

• Opportunities for career advancement within the healthcare team