Healthcare Call Center Representative

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

📋 Description

• Respond to incoming inquiries regarding healthcare benefits.

• Aid members with Medicare enrollments, billing, claims, benefits, eligibility, invoicing, and associated services.

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

• Attend to customers' inquiries and provide answers, including callbacks and follow-up communications.

• Address members' concerns and strive for resolution in a single call.

• Assist members in understanding their plan benefits and review client policies and procedures.

• Utilize client-supplied resources to adhere to regulatory requirements.

• Employ various client systems to deliver accurate information.

• Handle an average of 30–40 calls daily.

• Demonstrate multitasking abilities and problem-solving skills while delivering courteous, customer-focused service.

⛳️ Requirements

• At least 6 months of experience in customer service.

• High school diploma, GED, or a college degree.

• Successfully pass a customer service assessment and a computer typing test.

• Complete required paid training with full attendance.

• Successfully pass a background check.

• Availability during operational hours: 7:45 AM–11:00 PM EST Monday–Saturday and 7:45 AM–8:00 PM EST Sunday.

• Ability to learn and use 15–20 systems.

• Must have home internet with a minimum download speed of 25 Mbps and an upload speed of 10 Mbps.

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

• Satellite and wireless internet connections are not permitted.

• A quiet, distraction-free, and organized workspace is required.

• No other individuals, writing tools, unauthorized electronics, or pets should be present in the workspace during working hours.

• Subject to ongoing monitoring to ensure a distraction-free environment and absence of unauthorized devices, individuals, or animals.

• Must reside in a qualifying United States state or municipality where the compensation structure aligns with applicable wage regulations.

• Not currently hiring in AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA, or Minneapolis–MN, Washington, DC, 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.

• Compensated mandatory training program.

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

• Health insurance coverage provided.

• Optional dental and vision programs.

• Life and disability insurance offered.

• Retirement savings plan available.

• Paid holidays.

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

• Potential bonuses or incentives based on business needs.