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Customer Service Representative
Point CCustomer Service Representative at Point C providing benefit information and assistance to callers regarding healthcare programs. Handling inquiries and ensuring a welcoming experience for every caller.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills with a focus on effective communication and problem-solving in healthcare settings. Proficient in handling high call volumes while maintaining compliance and ethical standards.
Highest-signal resume keywords
Customer Service ExperienceHealthcare Account ManagementStrong Communication SkillsMicrosoft Office ProficiencyMedical Billing/Coding Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Customer ServiceHealthcare Account ManagementMedical BillingMedical CodingClaims AdjustmentSelf-Funded PlansMultitasking
Soft Skills
Active ListeningFriendly CommunicationTeam Collaboration
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Medical Billing CertificationMedical Coding Certification
Industry Keywords
TPAPayer SettingEthical ConductComplianceInbound CallsOutbound Calls
About the role
Key responsibilities & impact- Create a welcoming experience by authentically engaging every caller, every time.
- Make a connection with customers by engaging in friendly and genuine conversation throughout each call to provide a world-class experience.
- Interacting with team and co-workers in a supportive and purpose-drive environment.
- Thoroughly and accurately answer questions about customers’ healthcare accounts.
- Thoughtfully listen to callers’ needs and provide appropriate solutions.
- Demonstrate a culture of ethical conduct, safety, and compliance.
- Handle 35-50+ inbound and outbound phone calls per day.
- Work closely with claim staff to make warranted adjustments to claims.
- Other duties are based on business needs.
Requirements
What you’ll need- 2+ years of customer service experience; 1+ years in a TPA or payer setting.
- Experience with self-funded plans preferred.
- Bachelor’s degree or medical billing/coding certification.
- Additional TPA or payer experience.
- Strong communication, multitasking, and computer skills (Microsoft Office).
- Ability to work remotely and handle prolonged computer-based tasks.
Benefits
Comp & perks- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)