This is a Fully Remote Job
About Our Client:
This organization operates as a specialized global business process management partner, delivering transformational solutions and services across the customer lifecycle in industries including Healthcare, Banking and Financial Services, Communications, Media and Technology, among others. It maintains a presence in the US, the UK, India, Mexico, Australia, and the Philippines, serving as a trusted growth partner for leading global brands, including Fortune 500 and FTSE 100 companies.
About the Opportunity:
The CUSTOMER SERVICE REPRESENTATIVE role is focused on providing exceptional support to new and existing members and providers. This position handles inquiries related to billing, claims, enrollment, eligibility verification, benefits, provider changes, ID card requests, authorizations, pharmacy, transportation, dental and vision benefits, general information, and grievance and appeal management. The role contributes to member and provider satisfaction by ensuring accurate and efficient resolution of inquiries.
Responsibilities:
- Handle a high volume of inbound calls from healthcare members and providers
- Assist with inquiries about billing, claims, enrollment, eligibility, benefits, providers, ID cards, authorizations, pharmacy, transportation, dental and vision benefits
- Manage grievances and appeals
- Maintain awareness of performance impact on members
- Operate within a call center work-from-home environment
- Maintain web camera visibility during work hours
- Work assigned shifts between 7am and 7pm PST, Monday through Friday
Requirements:
- Minimum one year of customer service experience
- At least six months of healthcare experience
- One year of call center experience
- Data entry skills
- Private workstation with Internet and Ethernet connection (minimum 100 Mbps download/20 Mbps upload)
- Ability to navigate multiple computer screens simultaneously
- Reliable and punctual
- Able to work independently and in a team environment
- Positive professional attitude
- Detail-oriented and computer literate
- Strong reading comprehension, writing, and problem-solving skills
Pay Range and Compensation Package:
- Pay rate: $15 per hour
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.