Healthcare Call Center Representative Remote U.S.
$35,000–$50,000 year
RemoteUnited States
EXPIREDUnited StatesRemoteFull Time$35,000–$50,000 year
Full Time
Job Summary
Answer inbound calls within 30 seconds to Medicaid providers and members by assisting with coverage, claims, and benefit-related inquiries. Accurately interpret Medicaid benefits and policy provisions, research and resolve disputed claims, and ensure timely follow-up to achieve prompt resolution. Use multiple monitors and systems to service calls while meeting service level agreements and contractual obligations. Maintain focus, punctuality, and reliable attendance Monday through Friday, 8:00 AM to 5:00 PM, with a dedicated home office setup.
Required Qualifications
- at least one year of call center experience
- preferably in healthcare, human services, or Medicaid
- strong customer service skills
- communication skills
- problem-solving skills
- computer skills
- Experience working in a metric driven environment
- Experience using an auto answer system
- Experience working in the Healthcare Industry / Medicaid specifically
- Experience Meeting Service Level Agreements and contractual obligations
- Ability to learn and ask questions to be independent
- Prior office or clerical experience
- Ability to follow written policies and procedures
- Ability to access and retrieve information using a PC and basic understanding of Microsoft Office products
- Ability to follow procedural guidelines
- Ability to work on assignments with limited instructions from leadership
- Good written and verbal communication skills
- professional telephone skills
- dedicated home office or private workspace with a door
- available to work Monday through Friday, 8:00 AM to 5:00 PM
- punctuality and reliable attendance
- ability to maintain focus
- meet performance expectations
- adhere to company policies
- Broadband Internet connections with a minimum speed of 24MBS download and 8 MBS upload
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