Healthcare Call Center Representative

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

📋 Description

• Respond to incoming inquiries regarding healthcare benefits

• Support members with Medicare enrollments, billing processes, claims, benefits, eligibility, invoicing, and related services

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

• Attend to customer needs and address inquiries, including making callbacks and follow-up calls

• Aim for one-call resolution and take necessary actions to resolve member concerns

• Navigate member plan benefits and review client policies and procedures

• Utilize client resources and various systems to deliver accurate, regulatory-compliant information

• Handle approximately 30–40 calls daily

• Multitask and employ problem-solving skills while ensuring courteous, service-oriented interactions

⛳️ Requirements

• At least 6 months of experience in customer service

• High school diploma, GED, or a college degree

• Completion of a customer service assessment and a computer-based typing test is required

• Attendance of 100% during mandatory paid training sessions

• Successful passing of a background check

• 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 acceptable

• A quiet, distraction-free, and organized workspace is essential

• No unauthorized individuals, devices, animals, writing instruments, or electronic devices allowed in the workspace during work hours

• Willingness to learn and utilize 15–20 different systems

• Flexibility to work within the operating hours of 7:45 a.m.–11:00 p.m. EST Monday through Saturday, and 7:45 a.m.–8:00 p.m. EST on Sunday

• Must reside in an eligible U.S. state or municipality; hiring is not available in AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA, Minneapolis (MN), Washington (DC), and the 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

• Compensation for mandatory training sessions

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

• Health insurance coverage offered

• Optional dental and vision programs available

• Life and disability insurance included

• Retirement savings plan provided

• Paid holidays observed

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

• Potential bonuses or incentives based on business needs