Healthcare Contact Center Representative, Inside Sales
New
G
GuidehealthHealthcare
United StatesFull-TimeMiddle
Salary20 - 22 USD per hour
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Job Details
- Languages
- English
- Experience
- Minimum of 2 years of experience; Minimum of 1 year of experience in a healthcare contact center or outbound calling environment.
- Required Skills
- Customer serviceMicrosoft Office SuiteActive listening
Requirements
- High school diploma or equivalent.
- Minimum 2 years of experience in healthcare customer service, program enrollment, or inside sales/outbound calling.
- Minimum 1 year of experience in a healthcare contact center or outbound calling environment.
- Exceptional customer service skills with a genuine passion for helping others.
- Excellent verbal and written communication skills in English, including grammar and pronunciation.
- Strong persuasion and objection-handling skills.
- Proficiency with CRM software and Microsoft Office Suite.
- Knowledge of medical terminology, healthcare benefits, and insurance processes.
- Ability to work independently, handle stressful situations, and maintain composure.
- Reliable internet connection (minimum 100 Mbps download/10 Mbps upload) to support video calls and remote work.
Responsibilities
- Provide friendly and timely service through inbound and outbound phone, email, chat, SMS, video, and co-browser channels.
- Help customers navigate healthcare benefits, claims, provider networks, and prior authorizations.
- Conduct outbound enrollment for care management programs and clinical quality wellness outreach.
- Educate members/patients on plan benefits, policies, and the use of the self-service portal.
- Document interactions and resolutions accurately in CRM and other internal systems.
- Collaborate with departments like Claims, Utilization Management, and Care Management to resolve complex issues.
- Protect PHI and comply with HIPAA, TCPA, and other regulatory standards.
- Participate in ongoing training and coaching sessions to improve performance and quality metrics.
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