Customer Care Associate
New
Based in United StatesFull-TimeEntry
SalaryAt least 16.5 USD per hour
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Job Details
- Experience
- Minimum 1 year of customer service experience
- Required Skills
- Microsoft ExcelProblem SolvingCustomer serviceHIPAA
Requirements
- Minimum 1 year of customer service experience, preferably in a healthcare or service-driven environment.
- Strong verbal and written communication skills with the ability to explain complex information clearly.
- Excellent attention to detail and strong organizational skills to manage multiple member requests.
- Proficiency in Microsoft Word, Excel, and standard customer service or call documentation systems.
- Ability to learn quickly and adapt to healthcare systems, processes, and regulatory requirements.
- Strong problem-solving skills with a focus on accuracy and customer satisfaction.
- Ability to work independently while following structured procedures in a fast-paced environment.
Responsibilities
- Handle incoming member calls to provide clear explanations of healthcare benefits, services, and provider options.
- Resolve customer inquiries by researching issues, identifying needs, and determining appropriate solutions or referrals.
- Conduct outbound follow-ups to provide updates, gather additional information, or complete case resolution.
- Maintain accurate and up-to-date member records, including demographic and interaction details in internal systems.
- Ensure all interactions and processes comply with healthcare regulations and internal policies, including HIPAA and COBRA requirements.
- Collaborate with internal teams and external partners by routing or transferring inquiries appropriately.
- Deliver consistent, high-quality service while maintaining professionalism and empathy in every interaction.
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