1 день назад
Member Customer Service Representative (Healthcare)
38 500 - 57 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Member Customer Service Representative (Healthcare): Providing inbound and outbound support for healthcare members, providers, claims inquiries, and documentation with an accent on first-call resolution, accurate information exchange, and sensitive-data handling. Focus on researching claims status, de-escalating customer concerns, routing complex issues, and maintaining HIPAA-related privacy requirements.
Location: Remote from Eastern Washington, Idaho, Oregon, Montana, Utah, Minnesota, Wisconsin, Tennessee, North Carolina, South Carolina, Georgia, Florida, Texas, or Arizona.
Salary: $38,500–$57,800 per year.
Company
works to improve healthcare access and service for members, providers, and communities.
What you will do
- Provide inbound and outbound phone-based customer service and first-call or email resolution.
- Answer questions from members, doctors, clinics, hospitals, skilled nursing facilities, and vendors.
- Research claims status, follow up on pending items, resolve issues, and document interactions.
- De-escalate calls, educate callers, and route inquiries or paperwork to the appropriate departments.
- Handle sensitive information in accordance with Personal Protected Information and HIPAA-related requirements.
Requirements
- High school diploma or GED required.
- Two years of related customer service experience, or two years of college coursework or three years of customer service experience.
- Ability to resolve conflicts empathetically, adapt communication styles, accept feedback, and meet performance and attendance expectations.
- Recent experience with Microsoft Office or equivalent platforms, including navigating multiple systems during live calls.
- Experience with healthcare, insurance, benefits, claims processing, high-volume call centers, recorded-screen environments, or audited metrics.
- Must be located in one of the listed U.S. states and work a schedule between 5 a.m. and 8 p.m. Pacific Time.
Culture & Benefits
- Full-time work from home with a consistent Monday–Friday, eight-hour schedule.
- Twelve weeks of paid virtual training with 100% attendance required.
- Medical, dental, and vision coverage, healthcare benefits starting on day one, life and disability insurance, and wellness resources.
- 401(k) employer match, pension plan, generous paid time off, eight paid days off annually, and two floating holidays.
- Tuition assistance for undergraduate and graduate studies, employee recognition programs, and a $500 pre-tax home-office furniture allowance after successful training completion.
Hiring process
- Successful candidates complete a 12-week paid virtual training program with full attendance.
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