Remote - Healthcare Call Center Representative

Jobs for Humanity • Austin, TX

11h • Remote

About The Position

VXI Global Solutions is a BPO leader in customer service, customer experience, and digital solutions. Founded in 1998, the company has 40,000 employees in more than 40 locations in North America, Asia, Europe, and the Caribbean. We deliver omnichannel and multilingual support, software development, quality assurance, CX advisory, and automation & process excellence to the world's most respected brands. VXI is one of the fastest growing, privately-held business services organizations in the United States and the Philippines and one of China's few US-based customer-care organizations.

It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business.

Healthcare Call Center Representative Location: Remote (Virtual Environment) Company : Trusted Leader in Healthcare Services

Are you passionate about delivering exceptional customer service and building meaningful relationships? As a Healthcare Call Center Representative, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.

Requirements

• Minimum of two (2) years of customer service or healthcare member-interaction experience.
• High School Diploma or GED required.
• Outstanding written and verbal communication skills.
• Proven analytical and problem-solving abilities.
• Ability to respond concisely and clearly to customer queries.
• Strong critical thinking and problem-solving skills.
• Typing speed of at least 35 WPM with a 5% or lower error rate.
• A dedicated, quiet workspace with a door that closes, free from ambient noise.
• A comfortable desk and chair setup that allows for the proper installation of necessary equipment.
• Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.
• A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.
• Comfort with technology and ability to learn new systems quickly.
• Ability to stay productive and manage your time effectively in a remote environment.
• Strong verbal and written communication skills, especially in a virtual setting.
• Ability to adapt to changing technologies and procedures while working remotely.

Nice To Haves

• Previous call center experience and/or prior experience in the health insurance industry (preferred).

Responsibilities

• Manage inquiries in areas such as Member Services, Medicare, and Billing.
• Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.
• Uphold the organization’s philosophy of extraordinary customer relations.
• Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.
• Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
• Document all member interactions meticulously following established procedures.
• Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
• Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.
• Leverage a thorough understanding of company policies and processes to meet customer needs effectively.
• Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.
• Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.
• Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.
• Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.
• Use multiple systems/screens while assisting callers effectively.
• Navigate CRM, EMR/EHR, and ticketing platforms effectively.

Benefits

• Full health insurance coverage, including medical, dental, and vision plans.
• $25/month per line for unlimited phone, text, and data (restrictions may apply).
• Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED