Remote Healthcare Customer Service Representative
New
C
ConduentHealthcare
United States, Monday – Sunday 7:30am – 11:00pm ESTFull-TimeEntry
Salary16 USD per hour
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Job Details
- Experience
- 1 year of Call Center experience preferred; 1 year of face-to-face customer service experience.
- Required Skills
- Problem SolvingCustomer serviceData entry
Requirements
- High school diploma, GED, or college degree.
- Successfully complete customer service assessment and typing test.
- 1 year of face-to-face customer service experience.
- 1 year of Call Center experience preferred.
- Knowledge of Dental, Medical or Managed Care industry preferred.
- Strong organizational, time management, analytical, and problem-solving skills.
- Effective written and verbal communication skills.
- Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.
- Must be able to hardwire computer to home modem via ethernet (10 Mbps Download/3 Mbps Upload).
- Must have a distraction-free and secure work environment.
- Successfully complete a mandatory paid training program with 100% attendance.
- Successfully complete background check.
Responsibilities
- Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for Commercial and Medicare plans.
- Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.
- Attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately.
- Investigate verbal complaints regarding billing, claims, or services rendered and escalate service failures to internal departments.
- Retrieve and send written correspondence including plan brochures and provider directories.
- Meet or exceed ACD system call volume and quality performance goals.
- Maintain thorough knowledge of Member Services policies, procedures, and dental plan updates.
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