Healthcare Member/Customer Service Representative
Posted 2025-04-06Position: Customer Service Associate Representative
Location: 100 % Remote
Duration: 3-4 Months Contract + High Potential to Extend
Pay :$16.25
Job Description:
Duties:
 100% remote
 Need a hard-wired internet setup with at least 5 Mbps of upload speed and 10 mbps download speed
 Must be able to work any shift between 8 am-8 pm EST Monday-Friday
 Must have a quiet and private workspace to remain HIPAA compliant
 Must be on camera for training and as requested by managers
 The representative will work directly with the members.
 They are responsible for building rapport and educating members on their available options, including but not limited to, facility or screening options, preventative screening services available to them, or other alternative treatment options.
 The intent is to assist the member in selecting the option that best pertaining to them.
Daily duties include:
 Conducting research on each case, reaching out to the physician's office, making outbound calls to our members, and fielding incoming calls from members
 To track and communicate system errors in an expediential and thorough manner
 Self-report metrics successfully and regularly
 Take requests for care management from patients, physician offices or imaging centers
 Research issues regarding the certification process and forward to the appropriate parties.
 Delivers basic technical, administrative, or operative Customer Service tasks.
 Performs simple data entry, sorts requests, and maintains files.
 Understands simple instructions and procedures.
 Performs Customer Service duties under direct instruction and close supervision.
 Work is allocated on a day-to-day or task-by-task basis with clear instructions.
 Entry point into professional roles.
Skills:
 Connect with an average of 50-80 inbound and outbound callers per day, including members and physician's offices.
 Build rapport with members, providing a full concierge service that includes everything from assistance with selecting the proper treatment locations.
 Utilize the script pathway to educate members on facilities, screening options, and alternative treatments, and ask follow-up questions to determine their best options.
 Meet or exceed performance metrics related to scheduling appointments and appointment confirmations.
 Consistently multitask and conduct research on each case, toggling through various applications on multiple screens.
 Ability to be empathetic understanding that we are dealing with sensitive content with our members.
Minimum Experience required:
 1+ years previous experience in a contact center setting on outbound calls or dialer experience ideally preferred, and or telephonic sales experience
 1+ year previous sales experience ideally preferred
 Phone skills
 Computer skills
 Basic Microsoft Excel, Microsoft Outlook, and Web-ex Teams (Internal) skills
 Must be able to type more than 30 words per minute
 Customer Service Skills (history of customer service exp) preferred
Education:
 High School diploma or equivalent
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