Healthcare Call Center Representative

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

📋 Description

• Deliver customer support via phone to Medicaid providers and members.

• Assist with inquiries related to coverage, claims, and benefits.

• Clarify Medicaid benefits and policy provisions.

• Investigate and resolve disputed claims.

• Ensure prompt follow-up for quick resolution.

• Answer incoming calls within 30 seconds.

• Utilize multiple monitors, screens, and systems to manage calls.

• Adhere to contract requirements, business unit guidelines, and legal regulations.

• Meet expectations for time management, attendance, punctuality, and performance.

⛳️ Requirements

• Minimum of one year of call center experience, ideally in healthcare, human services, or Medicaid.

• Experience in a metric-driven environment.

• Familiarity with using an auto-answer system.

• Previous experience in the healthcare sector, particularly Medicaid, is preferred.

• Proven track record of meeting service level agreements and contractual commitments.

• Ability to learn, inquire, and work autonomously.

• Prior office or clerical experience is advantageous.

• Capability to adhere to written policies, procedures, and guidelines.

• Proficient in accessing and retrieving information using a PC.

• Basic knowledge of Microsoft Office products.

• Ability to operate with minimal guidance from leadership.

• Strong written and verbal communication abilities.

• Professional telephone etiquette.

• Dedicated home office or private workspace with a door.

• Availability from Monday to Friday, 8:00 AM to 5:00 PM.

• Reliable broadband internet with minimum speeds of 24 Mbps download and 8 Mbps upload.

🏝️ Benefits

• Flexible work options.

• Opportunities for learning and career advancement.

• Flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Leadership and technical development academies.