Healthcare Customer Service Representative

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

📋 Description

• Offers 24/7 phone support for partners and addresses inquiries.

• Evaluates calls to deliver immediate assistance, transfer calls, or arrange follow-up for client resolution.

• Determines customer needs by reviewing case notes and analyzing each situation.

• Executes routine call center operations related to business products and services.

• Utilizes standard scripts and established protocols under guidance to meet service level agreements (SLAs).

• Delivers specialized information with warmth and empathy.

• Collects essential information to update the database.

• Raises issues to senior management based on complaints or concerns.

• Clarifies company policies to customers.

• Enhances skills within an analytical or operational process and maintains necessary licenses, training, and certifications.

• Provides daily contracted technical or non-technical customer support, transaction processing, and sales and marketing services.

• Engages in business support or technical work utilizing data organization and coordination skills.

• Operates within established procedures and practices with moderate supervision.

• Performs other duties as assigned and adheres to policies and standards.

⛳️ Requirements

• Must be at least 18 years old.

• High School Diploma or equivalent education is required.

• Must be willing to undergo a pre-employment screening and drug test.

• Must have legal authorization to work permanently in the United States without the need for visa transfer or sponsorship.

• Must successfully complete the Call Center – Service Skills Assessment.

• Proficiency in MS Office, particularly Word and Outlook, is required.

• Availability to work weekends and some holidays, including nights, in a 24/7 operation.

• Prior customer service or call center experience is preferred.

• Experience in a Call Center environment with Customer Service is preferred.

• Familiarity with Medical Insurance, Medicaid, or Pharmacy Benefits is preferred.

• Strong skills in customer service, communication, and problem-solving are essential.

• Experience in managing escalated customer issues and complex situations.

• Ability to communicate clearly and confidently.

• Capability to multi-task and effectively manage time.

• Attention to detail, grammar, and spelling accuracy is necessary.

• One year of experience in medical insurance or a medical office is preferred.

• Experience with computer systems, data entry, and database documentation knowledge is required.

• Previous experience in a customer service background within a call center is preferred.

• Experience in handling inbound customer support calls is required.

🏝️ Benefits

• Benefits start on day one (medical, dental, vision) for eligible positions.

• PerkSpot – Employee discount program available.

• Paid time off and holidays included.

• Paid training offered.

• Equipment will be provided.

• Opportunities for career growth and advancement.

• Supportive and inclusive workplace culture.

• Bi-weekly pay schedule.

• Health insurance coverage provided.

• Optional dental and vision insurance programs.

• Life and disability insurance available.

• Retirement savings plan offered.

• Paid holidays included.

• PTO for vacation and/or sick time provided.