Support inbound calls from US-based members/providers with questions about health, wellness, pre-authorizations, copayments, and plans/coverage
Actively listen to customers to understand concerns and build rapport
Provide essential information regarding access to care, benefits, proof of coverage, member handbook, etc.
Guide callers through troubleshooting and navigating self-service options and company sites/products
Utilize client-specific knowledge systems to research and review multiple documents while keeping the customer engaged
Follow documented processes and procedures to ensure compliance for government audits
Empathize and resolve concerns to simplify the customer’s healthcare experience
Navigate multiple computer applications with speed and accuracy
Adapt to learn new call types and flex support when business needs change
Requirements
18+ Years old
High School diploma or its equivalent
Minimum of 6 months 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 ability to navigate multiple applications
Willing to work any shift between 10:00am-1:00am Eastern Standard Time, 7 days a week, including holidays & weekends
Dedicated, quiet, and secure workspace with no distractions
High-speed internet with at least 50 Mbps download and 10 Mbps upload (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
Bilingual Spanish for bilingual role (as specified in job title)
Benefits
Bilingual Spanish pay: $17 per hour in training (overtime during peak needs)
Non-bilingual pay: $15 per hour in training, increases to $15.50 after training
Overtime pay during peak needs
Access up to 50% of your pay immediately after your shift
Paid, virtual training
Remote work environment
Opportunity for professional development
Company equipment shipped for work 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 serviceactive listeningverbal communicationwritten communicationcomputer proficiencytroubleshooting