Harbor Health

Health Plan Contact Center Representative

Harbor Health

full-time

Posted on:

Location Type: Remote

Location: Remote • Texas • 🇺🇸 United States

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Job Level

Junior

About the role

  • Answer incoming phone calls from customers and identify the type of assistance the customer needs
  • Serve as a resource for team members or health plan customers
  • Respond to callers in a friendly and supportive manner
  • Document call disposition and notes with accuracy and completeness
  • Be an active and empathetic listener
  • Own problem through to resolution on behalf of the customer
  • Research complex issues across multiple databases and work with support resources to resolve customer issues
  • Meet the performance goals established for the position
  • Handle protected health information (PHI) with strict confidentiality and diligence
  • Identify improvement opportunities within the Call Center process

Requirements

  • High School Diploma / GED
  • 1+ year of customer service call center experience with a payer
  • Familiarity with computer and Windows computer applications
  • Familiarity with payer healthcare terminology and documents (EOP/EOB/ID Cards)
  • 1+ year experience with healthcare claims and/or eligibility data including billing and care management information
  • Prior experience with processing healthcare claims or enrollment data (preferred)
  • Experience using a Call Center and Tracking system (preferred)
  • Experience with supporting IFP and/or Commercial paper insurance products (preferred)
  • Knowledge of MS tools in particular Excel (preferred)
  • Bilingual (Spanish) proficiency (preferred)
Benefits
  • Training & resources provided
  • Rewards and recognition for performance
  • Opportunities to develop skills for other roles

Applicant Tracking System Keywords

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

Hard skills
customer servicecall center experiencehealthcare claimseligibility databillingcare managementprocessing healthcare claimsenrollment datapayer healthcare terminologyWindows applications
Soft skills
active listeningempathyproblem-solvingcommunicationteam supportcustomer assistanceattention to detailconfidentialitydiligenceperformance goal orientation
Certifications
High School DiplomaGED