Customer Guide Engagement Specialist
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 in one or more of the following: customer service in a health plan, HMO, TPA, or healthcare setting; OR program enrollment, telemarketing, cold calling, appointment setting, inside sales, or other outbound calling roles. Minimum of 1 year of experience in a healthcare contact center or outbound calling environment.
- Required Skills
- Problem SolvingMicrosoft Office SuiteCritical thinkingActive listening
Requirements
- High school diploma or equivalent.
- Minimum 2 years of experience in healthcare customer service, program enrollment, or outbound calling.
- Minimum 1 year of experience in a healthcare contact center or outbound calling environment.
- Strong empathy, patience, and ability to build rapport.
- Excellent verbal and written communication skills in English.
- Proficiency with CRM software and Microsoft Office Suite.
- Knowledge of medical terminology, healthcare benefits, and insurance processes.
- Ability to work independently and as part of a team with a high level of accountability.
- Ability to handle stressful situations with professionalism and composure.
- Must meet internet speed requirements of 100 mbps download and 10 mbps upload.
Responsibilities
- Provide friendly, accurate, and timely service to members, patients, and providers through various communication channels.
- Conduct outbound enrollment outreach for care management programs and clinical quality/wellness check-ins.
- Resolve complex customer inquiries regarding benefits, claims, eligibility, and provider networks.
- Educate customers on health plan benefits, policies, and navigation of self-service portals.
- Document all interactions and resolutions accurately in internal systems.
- Maintain privacy and protect Personal Health Information (PHI) in compliance with HIPAA.
- Collaborate with internal departments such as Claims, Intake, and Care Management to resolve issues.
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