Healthcare Customer Service Representative

Conduent

Remote Healthcare Customer Service Representative addressing patient inquiries about dental benefits and claims. Join Conduent and help improve lives while working from home.

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 dental benefits inquiries, resolving member and provider concerns, and maintaining knowledge of policies and procedures. Proficient in achieving performance metrics while delivering exceptional customer service in a call center environment.

Highest-signal resume keywords

Call Center ExperienceCustomer Service SkillsDental Industry KnowledgeMicrosoft Word ProficiencyAnalytical Problem Solving

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Customer Service AssessmentTyping SkillsClaims InvestigationBilling System DocumentationPerformance Metrics Achievement

Soft Skills

Organizational SkillsTime ManagementWritten CommunicationVerbal CommunicationProblem Solving

Tools & Technologies

Microsoft OutlookInternet Explorer

Industry Keywords

Dental BenefitsMedicare PlansManaged CareEligibilityGrievances

About the role

Key responsibilities & impact

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

What you’ll need

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 strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.
Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.

Benefits

Comp & perks

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.