Remote Healthcare Call Center Representative

Conduent

2d • Remote

About The Position

We are seeking individuals who are passionate about helping others, possessing natural empathy, and providing thorough solutions for healthcare-related inquiries. If you find fulfillment in making a positive impact on people's lives, solving complex issues, and offering effective solutions, this role is for you. In this position, you will be answering calls regarding healthcare benefits. The calls are related to assisting members with Medicare enrollments, billing, claims, benefits & other services as mutually agreed. There are plenty of career growth opportunities within the healthcare team!

Requirements

• Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
• A minimum of 6 months customer service experience.
• High school diploma, GED, or college degree.
• Complete a mandatory paid training program with 100% attendance.
• Successful completion of a background check is required for this position.
• This role is subject to continued monitoring to ensure a distraction-free workspace and to verify that no unauthorized devices, individuals, or animals are present.
• Home internet connection with 25 Download and 10 Upload Speed.
• Must be able to hardwire your work computer directly to your home modem via ethernet. Satellite internet and wireless internet are not acceptable.
• Must have a quiet, distraction free workspace. Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area.

Nice To Haves

• Call center experience is a plus, but not a requirement.

Responsibilities

• Manage a steady volume of incoming calls regarding Benefits, Enrollment, Eligibility, Invoicing, Claims, and related topics.
• Fully explain the Medicare Part D, Part C Medicare Advantage Programs and Dual Special Need Program (DSNP). Answering all questions related to the program levels.
• Actively listen to understand customers’ needs and answer their questions to include callbacks and follow up calls as needed.
• Strive to answer the un-asked question(s) as we work for a one call resolution. Take all necessary action to resolve the members' issues by answering their questions.
• Navigate the Members’ plan benefits, review Client's policy and procedures, while using resources provided by the Client to comply with regulatory guidelines.
• Utilize multiple Client systems to provide accurate information.
• Effectively multi-tasking.
• Demonstrate proficiency in problem-solving skills.
• Politeness and a strong focus on servicing the caller are important requirements.

Benefits

• Medical, Dental, and Vision benefits are available on the 1st day of employment.
• Paid time off is accrued after 180 days of employment.
• Health insurance coverage
• Voluntary dental and vision programs
• Life and disability insurance
• A retirement savings plan
• Paid holidays
• Paid time off (PTO) or vacation and/or sick time.

What This Job Offers

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