Customer Service Representative

Pride Health is hiring a Customer Service Representative - Hybrid Role to support our client’s medical facility based in Manhattan, NY – 10004 . This is a 9 Week assignment with the possibility of a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization!

Job Title : Customer Service Representative.

Location : Manhattan, NY – 10004.

Pay Range : $18.00 / hr to $21.00 / hr.

Shift : Days, 9 : 00 AM to 5 : 00 PM. Hybrid - Thursdays Mandatory On-site.

Duration : 9 Weeks(Contract) with possible extension.

Key Responsibilities :

• Conduct proactive outreach to members due for recertification , using a strategic daily schedule that includes morning / evening hours, field visits, and weekend shifts to maximize engagement.
• Assist members in completing recertification applications , ensuring the process is simple, efficient, and member-friendly.
• Follow departmental procedures and best practices to meet and exceed recertification and retention targets .
• Collaborate with internal departments to identify and resolve barriers impacting the member experience during the renewal process.
• Maintain and track daily outreach and renewal goals based on business needs to increase overall member retention.
• Provide comprehensive enrollment and retention support , including assisting members with :
• Changing lines of business to ensure optimal plan fit
• Re-enrolling due to administrative lapses
• Premium payment issues
• PCP (Primary Care Provider) selection
• Locating in-network providers and vendors
• Deliver end-to-end customer support to improve member satisfaction and loyalty.
• Communicate clearly and professionally, both verbally and in writing, regarding all member retention activities.
• Collaborate with internal and external stakeholders to ensure full issue resolution and maintain service excellence.
• Identify recurring challenges or concerns during outreach and contribute to process improvement efforts .
• Support ad hoc projects and initiatives focused on enhancing member retention, satisfaction, and operational efficiency .

Education Requirement :

Experience Requirement :

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.