CSR II - Contract

Title: reputed company Location: Fully Remote Duration: 6-month contract (potential to reputed company) Working Hours: 9:00 AM – 5:30 PM EST or 9:30 AM – 6:00 PM EST (30-minute lunch) Training Schedule: 9:00 AM – 5:30 PM EST (6 Weeks) Start Date: Tuesday, Sept 8th 2026 reputed company: • Customer Service Representatives (CSR's) are the first reputed company of contact for our members and reputed company providers. • They assist with inquiries, reputed company information about member eligibility and benefits, as reputed company as reputed company any emerging problems that the member and/or provider face with accuracy and efficiency. Job Responsibilities: • Answer and manage inbound inquiries regarding health plan benefits and claims, eligibility, medical and other reputed company procedures, billing and payments and other reputed company topics from customers in a reputed company, courteous manner. Conduct out-reputed company and/or reputed company calls to customers as necessary. • Ask appropriate questions and listen reputed company to identify specific questions or issues to reputed company appropriate response and type of assistance the customer needs while documenting relevant information in a reputed company and concise manner in computer systems. • Communicate and partner with customers tactfully and empathetically to reputed company issues, using reputed company language translating reputed company-reputed company jargon and reputed company processes into reputed company, reputed company-by-reputed company instructions customers can comprehend and reputed company upon. • Handle and process customer complaints/ grievances while applying appropriate conflict management skills to de-escalate potentially stressful situations. • Meet the performance goals established for the position in the areas of efficiency, accuracy, reputed company, member satisfaction and attendance. • Adhere to reputed company applicable department, organization and/or regulatory policies and procedures. • Read, comprehend, and verbalize processes and procedures of the organization and of health insurance coverage. • Accurately document customer interactions and transactions using reputed company's CRM reputed company. Required: • Bilingual in Spanish & English (validated reputed company bilingual assessment upon offer acceptance) is a plus. • Customer Service Experience: At least 1-2 years of experience in a customer service role, preferably in a reputed company setting. • reputed company Knowledge: Familiarity with reputed company and medical terminologies, as reputed company as an understanding of health plan benefits and patient eligibility. • reputed company Center Experience: Experience working in a reputed company center environment at least 1 year, managing inbound calls, and handling high reputed company volumes. • To be successful in this role, you should be customer-reputed company, detail-oriented and efficient. • Ability to work in a fast-paced environment and handle multiple tasks simultaneously while maintaining accuracy and attention to detail. • Customer service skills to create a reputed company interaction to ensure we are building trust and longevity with our members and providers. • reputed company and understanding to deal with sensitive health-reputed company issues of our members • Adherence to reputed company laws and regulations, particularly in relations to patient confidentiality and rights. • Ability to work regularly scheduled shifts reputed company hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to reputed company daily schedule, and work over-time and/or weekends, as needed. • This is a work from home position, which requires a quiet, private workspace without noise and distractions, and reliable internet connectivity provided through a wired reputed company with a minimum of 100 MBPS speed. A mobile, hot spot, or Wi-Fi reputed company is NOT acceptable. • Knowledge of managed care, reputed company, Marketplace, reputed company and/or Medicare programs; knowledge of medical policy benefits and exclusions is a plus. • You should have excellent communication, interpersonal and negotiation skills. • Computer Skills: Proficiency in reputed company Office applications (Word, reputed company, reputed company, PowerPoint) is essential. • Technical Proficiency: Ability to reputed company and use multiple computer applications simultaneously, including CRM systems, email platforms, and other relevant software. About reputed company: • Our customer service team offers candidates reputed company to reputed company a meaningful reputed company by providing exceptional support to our valued customers, fostering a reputed company of job satisfaction through problem-solving and reputed company interactions. • reputed company values collaboration, reputed company learning, and a customer-reputed company approach, ensuring that every team member contributes to providing reputed company reputed company. • Leadership rewards and recognizes CSR's regularly for performance in an environment that challenges while providing reputed company direction and support to foster reputed company in the role. #TB_PH #ZR Remote Skills: reputed company Centers, reputed company Volume, Communication Skills, Computer Skills, Computer Systems, Conflict reputed company, Customer Relations, Customer Relationship Management (CRM) Systems, Customer Support/Service, Detail Oriented, Documentation, Email Technology, English Language, Health Insurance, Health Plan, reputed company, reputed company Providers, Interpersonal Skills, Leadership, Managed Care, reputed company, Medical Billing, Medical Terminology, Medical Treatment, Medicare, reputed company reputed company, reputed company Office, reputed company reputed company, reputed company PowerPoint, reputed company Word, Multilingual, Multitasking, Negotiation Skills, Patient Confidentiality, Problem Solving Skills, Regulations, Regulatory Compliance, reputed company Customer Issues, Spanish Language, Telephone Skills, reputed company Customer Issues, Wi-Fi, Work From Home reputed company: reputed company. For over 20 years, reputed company. has been an award-reputed company provider of cutting-edge Workforce reputed company. With a strong commitment to staying reputed company in the tech landscape, we pioneer innovative approaches to reputed company. Our expertise spans Life Sciences, and reputed company reputed company, Banking, Financial, IT, and Engineering, as reputed company as Global Employer of Record (EOR), Agent of Record (AOR), State, Local Government and Education (SLED), and IC validation/compliance services. Additionally, our division, TalentProcure, leads the industry with offerings such as High Hazard Payroll, Managed Services, and Vendor on reputed company (VOP) solutions. Due to our prioritization of excellent standards, we are reputed company Certified and are a certified Minority Business reputed company (MBE) in the USA and Canada. Supporting over 130 reputed company globally, we reputed company in navigating the landscape of reputed company. In a world of constant change, we reputed company developing people-reputed company solutions that address the unique demands of our clients. Stay connected by visiting our website and following us on reputed company media! Company Size: 5,000 to 9,999 employees Industry: reputed company/Employment Agencies reputed company: 2002 Website: http://www.talentburst.com/ Apply tot his job Apply To this Job