Actively listen to customers to understand their concerns & build a rapport that will make them feel heard and cared for
Provide essential information to members regarding access to care issues, benefits, proof of coverage, member handbook, etc.
Guide callers through troubleshooting, navigating self-service options use company sites and/or using products or services
Utilize client specific knowledge systems to research & review multiple documents to better serve the customer while keeping the customer engaged
Follow instructions provided through documented processes and procedures to ensure all compliance is met for government audits
Empathize and resolve concerns to simplify the customer’s healthcare experience
Navigate through multiple computer applications with speed & accuracy
Adapt to learn new call types when business needs change & flex support in those areas
Support inbound calls from US based members/providers who have questions about their health, wellness, pre-authorizations, copayments, and plans/coverage
Requirements
18+ Years
High School diploma or its equivalent
Minimum of 6 months of previous experience working in a call center or as a health plan call center agent (member service, provider service, pharmacy plan member service) preferred
Medicare and/or Medicaid experience would be a plus
Exceptional customer service, active listening, and verbal and written communication skills
High computer proficiency and navigation of multiple applications
Willing to work any shift between 10:00am-1:00am 7 days a week Eastern standard time + holidays & weekends (on holidays, extend hours 24/7 to small staff)
Dedicated, quiet, & secure workspace with no distractions
High-Speed Internet With At Least 50 Mbps Download Speed & 10 Mbps Upload Speed (No Satellite, Wi-Fi, or Cellular/Wireless Carrier Internet Services)
Must have a hard-wired internet connection via ethernet cable to modem/router that you own/are responsible for
A USB wired headset with noise canceling microphone
Professional Positive Attitude & Courteous Telephone Etiquette
Customer focused personality and a desire to help people
Bilingual in Spanish (for bilingual role)
Benefits
Bilingual in Spanish $17 per hour in training + Overtime during peak needs
If you are not Bilingual pay is $15 per hour in training, pay increases to $15.50 after training is completed
Access up to 50% of your pay immediately after your shift
Paid, Virtual Training
Remote work environment
Opportunity for Professional Development
Continuum will ship you company equipment to use
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
call center experiencehealth plan call center experienceMedicare experienceMedicaid experiencecustomer servicetroubleshootingdocument navigationcompliancecomputer proficiencybilingual in Spanish
Soft skills
active listeningverbal communicationwritten communicationempathyproblem-solvingadaptabilitycustomer-focusedpositive attitudecourteous telephone etiquettededication