About this role
Job Description
Customer Service Representatives deliver exceptional support to both new and existing members and providers by assisting with billing and claims inquiries, enrollment and eligibility verification, benefits inquiries, provider changes and provider searches, ID card requests, authorization status checks, CPT code lookups, pharmacy inquiries, transportation coordination, dental and vision benefits, general information requests, and managing grievances and appeals.
Job Overview
An 8-hour shift will be assigned between the hours of 7am -7pm PST, Monday-Friday (subject to change per the business need)
Pay Rate: $15 per hour
Key Roles and Responsibilities
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- Call Center environment- Work From Home
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- Handling a high volume of inbound calls for Healthcare Member and Provider inquiries
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- Maintain awareness of the way performance and actions affect members.
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- Web camera visibility
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- Schedule Flexibility
Qualifications & Experience
1 year Customer service experience
- 6 months Healthcare experience
- 1 year Call Center experience
- Data entry experience
- Must have a private workstation to perform your work
- Must have Internet to include a router with Ethernet jack for connectivity to PC (100mps download/20mps upload)
Must Haves
- Ability to navigate multiple computer screens
- Ability to answer Healthcare Member and Provider inquiries and type information into the computer system simultaneously
- Must be reliable and punctual
- Work effectively in a team environment
- Work independently without constant supervision
- Positive professional attitude
- Detail-oriented
- Computer literate
- Strong reading comprehension and writing skills
- Problem-solving skills.
We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state, or local law.
It is the policy of this Company to seek and employ qualified individuals at all locations and facilities, and to provide equal employment opportunities for all applicants and employees in recruiting, hiring, placement, training, compensation, insurance, benefits, promotion, transfer, and termination. To achieve this, we are dedicated to taking affirmative action to employ and advance in employment qualified individuals with disabilities, disabled veterans, and other eligible veterans.
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