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Commercial Health Call Center Representative
Evry HealthCall Center Representative providing important health plan information and support at Evry Health. Requires experience with commercial health plans and excellent customer service skills.
About the role
Key responsibilities & impact- Provide accurate and thorough information on commercial health plan benefits, eligibility, and claims.
- Handle inbound and outbound calls as well as respond to email inquiries from customers.
- Develop processes, call scripts, metrics, and desktop procedures.
- Deliver an exceptional customer service experience to Evry members and providers.
- Partner with senior leadership daily.
- Work effectively in a virtual work environment.
Requirements
What you’ll need- Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy)
- Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance.
- Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
- Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience.
- Comfort working in a fast-paced, deadline-oriented work environment.
- Strong attention to detail and problem-solving skills with a high level of accuracy.
- Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc.
- Prior experience using a CRM, preferably SalesForce.
- Bonus: fluency in Spanish.
Benefits
Comp & perks- Competitive salary
- Comprehensive health, dental, and vision insurance as well as life and disability
- Retirement savings plan with company match
- Generous time off/vacation
- Professional development opportunities
- Flexible and remote work environment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
customer serviceclaims processingmedical managementappeals and grievanceCPT codingICD-10 codingHCPCS codingrevenue codesproblem-solvingattention to detail
Soft Skills
communication skillscollaborationorganizational skillsadaptabilitycustomer service experiencearticulation of complex topicstime managementaccuracyteamworkvirtual work environment