Healthcare Contact Center Agent

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

📋 Description

• Handle incoming calls from members and providers

• Initiate outbound calls as necessary

• Address electronic mail and secure correspondence

• Investigate claims and confirm insurance details

• Resolve inquiries from members and providers

• Accurately document all interactions in the system

• Uphold confidentiality and adhere to HIPAA and other healthcare regulations

• Refer complex issues to supervisors or relevant departments

• Achieve performance metrics related to call scripting, quality, call handling time, customer satisfaction, and schedule adherence

⛳️ Requirements

• High school diploma or equivalent is mandatory

• Minimum of 1 year of experience in a call center or customer service position, preferably within a healthcare environment

• Understanding of Medicaid/Medicare programs, state healthcare regulations, or a willingness to swiftly learn complex program policies

• Excellent communication, empathy, active listening, attention to detail, and conflict resolution abilities

• Proficiency in speaking, reading, and writing in English is required

• Capability to multitask and navigate through various systems at the same time

• Familiarity with Microsoft Office and call center software is essential

• Knowledge of medical terminology and insurance processes is advantageous

• Availability to work a designated 8.5-hour shift from Monday to Friday between 7 AM and 6 PM Eastern

• Ability to remain stationary while using a computer and telephone headset for prolonged periods

• Competence in operating standard office equipment

• Consistent attendance and punctuality are crucial

🏝️ Benefits

• Flexible work options

• Opportunities for learning and career advancement

• Generous and flexible vacation policy

• 401(k) with employer matching

• Comprehensive health benefits

• Educational support

• Leadership and technical development academies