Job Description
Health Care Call Center Representative II and III
This position requires schedule flexibility to work an 8-hour shift with shifts starting at 11am and 12pm, working one day during the weekend.
Days off may not be consecutive.
Locations : Currently offering a Remote Work Schedule within the following markets : Alabama, Arkansas, Arizona, Colorado, Connecticut, Delaware, Florida, Iowa, Illinois, Kansas, Louisiana, Massachusetts, Maryland, Missouri, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Washington State, Wisconsin
Get To Know The Team :
As a Health Care Call Center Representative, you will work in a dynamic inbound contact center assisting callers by providing world class customer service answering questions, resolving issues, and assisting with pharmaceutical and / or medical health transactions.
This role is well suited for those who enjoy working as part of a team and are driven to provide exceptional service to our clients and their customers.
Why You Will Love It Here!
- Flexibility : Hybrid Work Model & a Business Casual Dress Code, including jeans
- Your Future : 401k Matching Program, Professional Development Reimbursement
- Work / Life Balance : Flexible Personal / Vacation Time Off, Sick Leave, Paid Holidays
- Your Wellbeing : Medical, Dental, Vision, Employee Assistance Program, Parental Leave
- Diversity & Inclusion : Committed to Welcoming, Celebrating and Thriving on Diversity
- Training : Hands-On, Team-Customized, including SS&C University
- Extra Perks : Discounts on fitness clubs, travel and more!
What You Will Get To Do :
- Responds to inbound phone calls and processes customer inquiries / requests into the appropriate system or database.
- Research, resolve, and respond to inquiries and problems of a more complex nature.
- Provides facilities, doctors, and members with routine health care information on effective dates of coverage, claims history, deductible and coinsurance amounts, and medical benefits.
- May be responsible for providing on-the-job training for newer associates.
- Daily work includes call center activity, transaction processing / data entry, customer correspondence, and quality assurance.
What You Will Bring :
- High School Diploma or equivalent.
- Flexibility to work evenings, weekends, and holidays required.
- For Level II Reps : 1 year of high-volume call center required.
- For Level III Reps : 1 year of healthcare call center experience and demonstrated knowledge of Medicare required.
- Strong preference for experience working with Medicare, Medicaid, Affordable Act, Commercial, Small / Large Group and / or Pharmaceutical Benefits Management.
- Intermediate computer proficiency, including keyboarding skills and the ability to navigate through multiple programs within a Windows based environment.
- Experience using Teams, Excel, Outlook.
- Knowledge of VPN, clearing cache, recycling modem / router.
- High speed internet with ability for wired connection as needed.
- Minimum speed required : 300 mbps download / 10-20mbps upload.
- Ability to upgrade internet speeds upon hire if they do not meet the required criteria.
- Work space in your home to attend training and work without interruption.
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