Healthcare Call Center Representative

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

📋 Description

• Respond to incoming calls regarding healthcare benefits.

• Assist members with Medicare enrollments, billing inquiries, claims, benefits, eligibility, invoicing, and related services.

• Clarify Medicare Part D, Part C Medicare Advantage, and Dual Special Needs Program (DSNP) levels.

• Listen attentively to customers, address their questions, and conduct callbacks or follow-up calls as necessary.

• Resolve members’ concerns and aim for resolution in a single call.

• Navigate members’ plan benefits and review client policies and procedures.

• Utilize multiple client systems and available resources while adhering to regulatory guidelines.

• Multitask effectively and apply problem-solving abilities.

• Deliver courteous, customer-focused service.

⛳️ Requirements

• A minimum of 6 months of customer service experience is required.

• High school diploma, GED, or college degree is necessary.

• Must successfully complete a customer service assessment and a computer-based typing test.

• Complete mandatory paid training with full attendance.

• Successful completion of a background check is required.

• Flexible availability is needed between 7:45 am–11:00 pm EST from Monday to Saturday and 7:45 am–8:00 pm EST on Sunday.

• Ability to learn and utilize 15–20 different systems.

• Average of 30–40 calls to be handled per day.

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

• Capability to connect the work computer to the home modem via Ethernet is required.

• Satellite and wireless internet connections are not acceptable.

• A quiet, distraction-free workspace with no unauthorized individuals, animals, devices, or writing materials during working hours is essential.

• This role is subject to ongoing workspace monitoring.

🏝️ Benefits

• Paid time off accrued after 180 days of employment.

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

• Paid mandatory training provided.

• Equipment supplied includes a computer, monitor, mouse, keyboard, headset, Ethernet cord, and power cables.

• Potential bonuses or incentives based on business needs.

• Health insurance coverage included.

• Optional dental and vision programs available.

• Life and disability insurance offered.

• Retirement savings plan available.

• Paid holidays included.

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