Customer Service Rep (Remote)

Why Consider This Job Opportunity

• Opportunity for career advancement and growth within the organization
• Flexible remote work options available
• Supportive and collaborative work environment
• Commitment to diversity, equity, and inclusion
• Comprehensive training provided for new hires
• Employee wellness programs and benefits

What To Expect (Job Responsibilities)

• Serve as the primary liaison for members and providers regarding eligibility verifications, authorizations, claims, and related inquiries
• Handle and resolve customer inquiries and complaints, ensuring exceptional customer satisfaction
• Research and triage customer issues efficiently, identifying priority concerns for escalation
• Maintain detailed call logs for customer interactions, documenting inquiries and actions taken
• Anticipate customer needs and establish effective relationships to gain trust and respect

What Is Required (Qualifications)

• High School Diploma or equivalent
• Minimum of 4 years experience in a customer service environment
• Strong knowledge of customer service principles and practices
• Ability to remain patient and courteous when dealing with difficult callers
• Capability to work effectively under pressure in a fast-paced environment

How To Stand Out (Preferred Qualifications)

• Associate’s Degree or Bachelor’s Degree
• Bilingual (Spanish) or proficiency in another language
• 2+ years of experience in an HMO/Healthcare setting
• Familiarity with call center technology and telephony systems
• Understanding of medical terminology and medical coding

#HealthcareServices #CustomerService #RemoteWork #CareerGrowth #DiversityAndInclusion

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