Customer Service Representative - Healthcare Industry - $15/Hour - Remote Work at Home Opportunity with Comprehensive Benefits and Growth Potential

Join Our Team: Deliver Exceptional Customer Experiences in Healthcare

We are a leading provider of customer service solutions, operating with a global presence across 26 sites in seven countries and employing over 30,000 professionals. Our company is dedicated to delivering high-quality service experiences that set us apart in the industry. We are seeking a highly skilled and motivated Customer Service Representative to join our team, working remotely from the comfort of your own home.

About the Role

As a Customer Service Representative, you will play a critical role in providing exceptional service experiences to our customers across multiple lines of business in the healthcare industry. You will work directly with customers to address their inquiries, concerns, and requests, ensuring that they receive accurate and timely information. Your goal will be to provide superior customer service, projecting a professional company image and contributing to the success of our organization.

Key Responsibilities

• Resolve coordination of benefits inquiries by analyzing patient activity, including enrollment, third-party liability, and claims attachments.
• Develop a comprehensive understanding of insurance coverage and communicate accurate information to customers.
• Thoroughly document all customer interactions, ensuring accurate records and efficient issue resolution.
• Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
• Promote the usage and benefits of self-service tools, empowering customers to manage their information independently.
• Assist members in gaining access to care by locating a network dentist or assigning them to a primary care dentist.
• Direct inquiries to necessary departments or individuals when the resolution of the inquiry is beyond the scope of this role.
• Respond to customer inquiries in a courteous and professional manner, providing accurate information and resolving issues efficiently.
• Research and consistently provide accurate information to resolve all member and provider inquiries through verbal and written communications across various channels, including phone, email, web portal, and chat interactions.
• Respond to and resolve internal and external complex customer inquiries, demonstrating expertise and problem-solving skills.
• Resolve claim payment inquiries by researching and analyzing patient activity, determining appropriate action to be taken.
• Take ownership of the resolution and set expectations for follow-up, ensuring that issues are fully resolved.
• Ensure resubmissions, stop payments, and voids are handled appropriately, maintaining accurate records and efficient processes.
• Meet or exceed individual, department, and client-specific goals, contributing to the success of our organization.
• Understand and adhere to all client administrative and contractual policies and procedures, maintaining compliance and high standards.
• Suggest ways to improve the service delivery processes, contributing to the success of our organization and demonstrating a commitment to excellence.

Requirements and Qualifications

Essential Qualifications

• High School Diploma or Equivalent required.
• 2 years of experience in a high-volume customer service environment, preferably in the healthcare industry.
• Ability to multi-task using multiple applications simultaneously, maintaining accuracy and efficiency.
• Ability to set up computer equipment and troubleshoot issues with minimal assistance, demonstrating technical skills.
• Professional verbal and written communication skills, with the ability to communicate effectively with customers and colleagues.
• Ability to operate a computer and knowledge of Microsoft Office applications, with strong organizational skills and attention to detail.
• Ability to work independently and with a team, demonstrating flexibility and adaptability.
• Ability to learn quickly and adapt to a fast-paced production environment, maintaining accuracy and service levels.
• Cooperative, professional, and effective interaction skills, with a strong commitment to customer service.
• Critical thinking and problem-solving skills, with the ability to analyze issues and provide effective solutions.
• Ability to tolerate repetitive work without compromising accuracy and service levels, demonstrating resilience and focus.

Preferred Qualifications

• Medical/Dental terminology knowledge and experience.
• Medicare/Medicaid knowledge and experience.
• Claims/Billing and coding experience.

What We Offer

Comprehensive Benefits Package

• Medical, Dental, and Vision insurance, providing comprehensive coverage for you and your family.
• 401(k) Retirement Savings Plan, helping you plan for your future and secure your financial well-being.
• Paid Time Off, allowing you to recharge and take time off when needed.
• Paid T-Mobile cell service, keeping you connected and productive.
• $500.00 Employee referral program, recognizing your contributions and rewarding your referrals.
• Employee PerkSpot, offering discounts on retail, hotel, food, restaurants, car rental, and much more, enhancing your lifestyle and providing exclusive benefits.

Career Growth Opportunities and Learning Benefits

We are committed to the growth and development of our employees, providing opportunities for career advancement and professional growth. Our comprehensive training program will equip you with the skills and knowledge needed to succeed in your role, and our supportive team environment encourages collaboration and knowledge sharing.

Work Environment and Company Culture

We offer a remote work opportunity, allowing you to work from the comfort of your own home and maintain a healthy work-life balance. Our company culture is built on a foundation of respect, integrity, and teamwork, and we strive to create a positive and inclusive work environment that supports the well-being of our employees.

Compensation and Perks

We offer a competitive hourly rate of $15.00, along with a comprehensive benefits package and perks that enhance your lifestyle and provide exclusive benefits.

Conclusion

If you are a motivated and customer-focused professional looking for a challenging and rewarding role in the healthcare industry, we encourage you to apply for this exciting opportunity. As a Customer Service Representative, you will play a critical role in delivering exceptional service experiences to our customers, and we are committed to providing you with the support and resources needed to succeed.

Join our team today and take the first step towards a fulfilling and rewarding career in customer service. Apply now and discover the benefits of working with a leading provider of customer service solutions.