Healthcare Contact Center Agent

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

📋 Description

• Professionally respond to incoming calls and address inquiries from members or providers.

• Initiate outbound calls as necessary.

• Accurately document all interactions within the system.

• Uphold confidentiality and adhere to HIPAA and other healthcare regulations.

• Investigate claims and verify insurance details.

• Resolve inquiries from members and providers effectively.

• Escalate complicated issues to supervisors or relevant departments.

• Achieve or surpass performance metrics, including adherence to call scripts, quality standards, call handling time, customer satisfaction, and schedule compliance.

⛳️ Requirements

• A high school diploma or equivalent is mandatory.

• An associate degree or healthcare certification is preferred.

• A minimum of 1 year of experience in a call center or customer service position, ideally within a healthcare environment.

• Familiarity with Medicaid/Medicare programs, state healthcare regulations, or a willingness to swiftly learn complex program policies.

• Strong skills in communication, empathy, active listening, attention to detail, and conflict resolution.

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

• Capability to multitask and efficiently navigate multiple systems at once.

• Competency in Microsoft Office and call center software.

• Familiarity with 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 time.

• Ability to remain in a stationary position for prolonged periods while utilizing a computer and telephone headset.

• Competence in operating standard office equipment.

• Consistent attendance and punctuality are crucial.

🏝️ Benefits

• Flexibility in work arrangements.

• Opportunities for learning and career advancement.

• A flexible vacation policy.

• 401(k) employer matching.

• Comprehensive health benefits.

• Educational assistance.

• Access to leadership and technical development academies.