Remote Healthcare Call Center Representative

1. About Our Client:

The organization operates within the healthcare services sector, providing mission-critical support for Medicare-related inquiries and benefits. It addresses the need for accessible, knowledgeable assistance in navigating complex healthcare programs such as Medicare Part D, Part C Medicare Advantage, and Dual Special Needs Programs. Serving a broad client base including government entities and large corporations, the organization facilitates efficient access to healthcare benefits and ensures regulatory compliance.

2. About the Opportunity:

The Remote Healthcare Call Center Representative role is designed to deliver direct support to members regarding their healthcare benefits. This position focuses on resolving inquiries related to Medicare enrollments, billing, claims, and benefits through inbound calls. The role is essential for enabling members to understand and utilize their healthcare plans effectively, contributing to improved customer satisfaction and streamlined service delivery.

3. Responsibilities:

• Manage a consistent volume of incoming calls about benefits, enrollment, eligibility, invoicing, and claims.

• Clearly explain Medicare Part D, Part C Medicare Advantage Programs, and Dual Special Needs Program details.

• Actively listen to customer needs and provide accurate, thorough answers, including callbacks and follow-ups.

• Aim for one-call resolution by anticipating and addressing unasked questions.

• Navigate members’ plan benefits and apply policies and procedures in compliance with regulatory guidelines.

• Use multiple systems to provide accurate information.

• Effectively multitask during calls.

• Demonstrate strong problem-solving skills.

• Maintain politeness and focus on delivering high-quality service.

4. Requirements:

• Successful completion of a customer service assessment and typing test on a computer.

• Minimum of six months customer service experience.

• High school diploma, GED, or college degree.

• 100% attendance in a mandatory paid training program.

• Successful background check.

• Ability to maintain a distraction-free workspace under continuous monitoring.

• Reliable home internet with specified speed and ability to hardwire computer via ethernet.

• Quiet, clutter-free home workspace without unauthorized items or interruptions.

5. Pay Range and Compensation Package:

• The estimated pay rate is $16.00 per hour.

• Pay may vary based on location, experience, and performance.

• The position may be eligible for bonuses or incentives based on business needs.

6. Benefits & Perks:

• Medical, Dental, and Vision insurance available from day one.

• Paid time off accrued after 180 days of employment.

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.