Salary
💰 $22 - $23 per hour
About the role
- Handle high-volume inbound calls with professionalism, empathy, and accuracy.
- Provide clear, accurate information regarding health insurance benefits, claims, billing, and eligibility.
- Assist members in navigating online resources and submitting requests.
- Document all call interactions in customer management systems in compliance with company and regulatory requirements.
- Adhere to call handling standards, including average handle time, quality scores, and first call resolution targets.
- Follow compliance guidelines including HIPAA, CMS, and state-specific regulations.
- Escalate complex issues appropriately to ensure timely resolution.
- Stay current with updates to health plan policies, systems, and processes.
- Contribute to continuous improvement by identifying trends and opportunities for enhanced customer experience.
Requirements
- High school diploma or equivalent (associate or bachelor’s degree preferred).
- 1–2 years of customer service experience; prior call center or healthcare/insurance experience preferred.
- Strong verbal, written, and interpersonal communication skills, with the ability to simplify complex information.
- Proficiency in Microsoft Office (Outlook, Word, Excel, Teams) and ability to learn new software systems quickly.
- Excellent documentation and data entry accuracy.
- Strong reading comprehension skills.
- Ability to work in a structured, fast-paced environment while meeting productivity and quality metrics.
- On-camera presence essential for training and meetings.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer servicedata entry accuracydocumentationhealth insurance knowledgecall handling standardscompliance with HIPAAcompliance with CMSreading comprehensionproblem resolution
Soft skills
professionalismempathycommunication skillsinterpersonal skillsability to simplify complex informationadaptabilityattention to detailteam collaborationcontinuous improvement mindset
Certifications
high school diplomaassociate degreebachelor's degree