Customer Service Representative (Healthcare - Remote)

Job Title: Customer Service Representative (Remote) - Healthcare Contact Center
Location: Remote
Schedule: Monday - Sunday, 8 AM - 5 PM (training), then 8 AM - 8 PM (shift)

Overview:
Are you passionate about helping people and providing excellent customer service in a fast-paced environment? We are seeking Customer Service Representatives to join our dynamic healthcare contact center. You'll be handling calls related to eligibility, claims, payments, and assisting patients and carriers with billing information, payment plans, and inquiries. If you're someone who thrives on delivering exceptional service and resolving issues efficiently, this role is for you!

A Day in the Life:

• Begin taking 50-60 inbound calls per day, using provided resources to address customer questions and concerns.
• Handle eligibility, claims, and payment issues while maintaining professionalism and accuracy.
• Assist with off-phone tasks when needed, supporting both customers and department leadership.
• Work in a fast-paced environment, helping to resolve payment inquiries, update billing info, and establish payment plans.

Key Responsibilities:

• Provide top-notch customer service through effective communication.
• Handle an average of 50-70 inbound calls daily, resolving eligibility, claim, and payment inquiries.
• Work with patients and carriers to update billing information, establish payment plans, and screen for financial assistance.
• Ensure customer satisfaction by researching and resolving issues efficiently and accurately.
• Support leadership with off-phone tasks and assist customers as needed.

Must-Have Qualifications:

• Education: High school diploma or equivalent required; Associate's degree preferred.
• Experience: At least 2 years of customer service experience, preferably in healthcare or insurance. Experience with Medicare plans and regulations is highly desirable.
• Skills:
  • Ability to multitask and handle high-volume calls in a fast-paced environment.
  • Proficiency in medical terminology, typing while talking, and managing multiple tasks.
  • Prior experience in a call center or customer service role.

Nice-to-Have Skills:

• Certifications: Medicare-specific certifications are a plus.
• Bilingual candidates are highly encouraged to apply.
• Additional training or knowledge of medical terminology is an advantage.

Soft Skills:

• Excellent communication and interpersonal skills.
• Strong problem-solving abilities and attention to detail.
• Professional demeanor, empathy, and a desire to be part of a supportive call center team.

Schedule:

• Training: Monday - Sunday, 8 AM - 5 PM
• Shift: After training, shifts will be from 8 AM - 8 PM with flexibility on weekdays and weekends.