Remote Healthcare Call Center Representative

Conduent Commercial Solutions, LLC•,
•Remote

About The Position

Conduent is 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. The hours of operation are between 7:45 am - 11:00 pm EST Monday-Saturday and Sunday 7:45 am - 8:00 pm EST. The pay rate is $16.00 per hour. Training is 9:00 am – 5:30 pm EST and lasts for 6 weeks of classroom learning followed by 2 weeks of nesting, with no allowed absences. 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.

Requirements

  • Successfully complete customer service assessment & typing test on a computer.
  • 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.
  • Home internet connection with 25 Download and 10 Upload Speed.
  • Must be able to hardwire work computer directly to home modem via ethernet (Satellite and wireless internet are not acceptable).
  • Must have a quiet, distraction-free workspace (clutter-free, no one 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.

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, including callbacks and follow-up calls as needed.
  • Strive to answer the un-asked question(s) for one-call resolution and take all necessary action to resolve members' issues.
  • Navigate members’ plan benefits, review client's policy and procedures, and use provided resources to comply with regulatory guidelines.
  • Utilize multiple client systems to provide accurate information.
  • Effectively multi-task.
  • Demonstrate proficiency in problem-solving skills.
  • Maintain politeness and a strong focus on servicing the caller.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Paid time off (accrued after 180 days)
  • Retirement savings plan
  • Paid holidays
  • Life insurance
  • Disability insurance
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