Healthcare Contact Center Agent
New
Remote US, Monday - Friday, 7am to 6pm EasternFull-TimeEntry
Salary27,200 - 38,900 USD per year
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Job Details
- Languages
- Must be able to speak, read and write proficient English.
- Experience
- 1+ year of experience in a call center or customer service role
- Required Skills
- Customer serviceMicrosoft OfficeActive listening
Requirements
- High school diploma or equivalent required; associate degree or healthcare certification preferred.
- 1+ year of experience in a call center or customer service role, preferably in a healthcare setting.
- Knowledge of Medicaid/Medicare programs, state healthcare guidelines, or willingness to quickly learn complex program policies.
- Strong communication skills with the ability to show empathy and use active listening to understand member and provider concerns.
- Demonstrated high attention to detail for compliance-driven processes.
- Conflict resolution skills for speaking to frustrated providers or members.
- Must be able to speak, read and write proficient English.
- Proficiency in Microsoft Office and call center software.
- Ability to multitask and navigate multiple systems simultaneously.
- Familiarity with medical terminology and insurance processes is a plus.
- Regular attendance and punctuality are essential.
Responsibilities
- Answer incoming calls promptly and professionally, addressing member or provider inquiries.
- Make outbound calls as needed.
- Accurately document all interactions in the system, ensuring records are updated and complete.
- Maintain confidentiality and comply with HIPAA and other healthcare regulations.
- Escalate complex issues to supervisors or appropriate departments when necessary.
- Meet or exceed performance metrics including adherence to standardized call scripting, quality guidelines, call handle time, and customer satisfaction.
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