Healthcare Call Center Representative

Conduent

Healthcare Call Center Representative assisting members with Medicare enrollments and inquiries. Responsible for managing calls regarding claims, billing, and benefits.

Posted 7/28/2026full-timeRemote • Alaska, California, Connecticut, Hawaii, Illinois, Maryland, Massachusetts, Montana, New Jersey, New York, Oregon, Washington • 🇺🇸 United StatesJunior💰 $16 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing customer inquiries related to Benefits, Enrollment, and Claims while ensuring compliance with regulatory guidelines. Proficient in problem-solving and effective communication to achieve one-call resolutions.

Highest-signal resume keywords

Customer Service ExperienceMedicare Part D KnowledgeProblem-Solving SkillsMulti-Tasking AbilityClient System Navigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Customer Service AssessmentTyping ProficiencyBenefits ExplanationClaims ManagementEnrollment Processes

Soft Skills

Active ListeningPolitenessFocus on Service

Tools & Technologies

Client Systems

Certifications & Qualifications

High School DiplomaGEDCollege Degree

Industry Keywords

Medicare Advantage ProgramsDual Special Need ProgramRegulatory Guidelines

About the role

Key responsibilities & impact

Manage a steady volume of incoming calls regarding Benefits, Enrollment, Eligibility, Invoicing, Claims, and related topics.
Fully explain the Medicare Part D, Part C Medicare Advantage Programs and Dual Special Need Program (DSNP).
Actively listen to understand customers’ needs and answer their questions to include callbacks and follow up calls as needed.
Strive to answer the un-asked question(s) as we work for a one call resolution.
Take all necessary action to resolve the members' issues by answering their questions.
Navigate the Members’ plan benefits, review Client's policy and procedures while using resources provided by the Client to comply with regulatory guidelines.
CSR is required to utilize multiple Client systems to provide accurate information.
Effectively multi-tasking.
Demonstrate proficiency in problem-solving skills.
Politeness and a strong focus on servicing the caller are important requirements.

Requirements

What you’ll need

Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
You must have a minimum of 6 months customer service experience.
High school diploma, GED, or college degree.
Complete a mandatory paid training program with 100% attendance.
Successful completion of a background check is required for this position.

Benefits

Comp & perks

Medical, Dental, and Vision benefits are available on the 1st day of employment.
Paid time off is accrued after 180 days of employment.