Remote Healthcare Call Center Representative

Conduent Commercial Solutions, LLC

4d•$16•Remote

About The Position

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Remote Call Center Representative 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. While call center experience is a plus, it is not a requirement. 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. Please visit our Dedicated Landing Page to learn more about the role and hear testimonials! Dedicated Landing Page There are plenty of career growth opportunities within the healthcare team! You must be flexible: the hours of operation are between the hours of 7:45am-11:00pm EST MON-SAT & SUN 7:45AM-8:00PM EST. The Pay Rate is $16.00 per hour, which may be below your state’s minimum wage. Please take this into consideration when applying. Training: 9:00am – 5:30pm EST - Training is 8 Weeks and 3 days classroom and 2 weeks Nesting & you cannot miss a day. Paid time off is accrued after 180 days of employment. Medical, Dental, and Vision benefits are available on the 1st day of employment. Successfully learn 15-20 systems and average 30-40 calls per day. About the Healthcare Call Center Representative: 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. CSR is required to 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. A few questions you can expect: Can you tell me if eyeglasses will be covered under this policy? I lost my ID Card; can you help me get another one?

Requirements

Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
You must have 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.
You must have a home internet connection with 25 Download and 10 Upload Speed (you may do a quick check through https://www.speedtest.net/ )
Must be able to hardwire your work computer directly to your home modem via ethernet. (Ensure the available connection meets the minimum bandwidth requirements to perform your job function. 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)

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.
CSR is required to 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.