Support inbound calls from US based members/providers 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
Guide callers through troubleshooting, navigating self-service options, and using company sites/products/services
Utilize client-specific knowledge systems to research and review multiple documents while keeping the customer engaged
Follow 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 multiple computer applications with speed & accuracy
Adapt to learn new call types and flex support when business needs change
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
Bilingual Spanish (required)
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
Dedicated, quiet, & 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)
Hard-wired ethernet connection to modem/router that you own/are responsible for
USB wired headset with noise canceling microphone
Willing to work any shift between 10:00am-1:00am Eastern Standard Time, including holidays & weekends
Benefits
$15 per hour in training; pay increases to $15.50 after training
$17 per hour for bilingual Spanish agents
Overtime 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 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 agentMedicare experienceMedicaid experiencebilingual Spanishcomputer proficiencytroubleshootingself-service navigationdocument reviewcompliance processes