Healthcare Customer Service Representative
Conduent
full-time
Posted on:
Location Type: Remote
Location: Remote • Alaska, California, Hawaii, Illinois, Massachusetts, Montana, New York • 🇺🇸 United States
Visit company websiteSalary
💰 $16 per hour
Job Level
Junior
About the role
- Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.
- Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.
- Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.
- Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.
- Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.
- Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.
- Achieve all assigned individual monthly performance metrics.
- Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.
- Perform additional duties and responsibilities as assigned by management.
Requirements
- Successfully complete customer service assessment & typing test.
- High school diploma, GED, or college degree.
- At least 1 year of Call Center experience preferred.
- 1 year of face-to-face customer service experience.
- Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.
- Must possess self-motivation, resourcefulness, detail-oriented nature, sense of accountability and be a team player.
- Must possess strong organizational, time management, written and verbal communication, analytical, and problem solving skills.
- Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.
- Effective communication skills over the phone.
- Ability to deal with problems involving several concrete variables in standardized situations.
- Successful completion of background check is required for this position.
Benefits
- Medical, dental and vision benefits are available on the 1st day of employment.
- Paid time off is accrued after 180 days (about 6 months) of employment.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
customer service assessmenttypingbilling systemperformance metricsproblem solvinganalytical skills
Soft skills
self-motivationresourcefulnessdetail-orientedaccountabilityteam playerorganizational skillstime managementwritten communicationverbal communication
Certifications
high school diplomaGEDcollege degree