Health Care Call Center Representative III

About the Role

• As a Health Care Call Center Representative, you will work in a dynamic inbound contact center assisting callers by providing world-class customer service.
• You will answer questions, resolve issues, and assist with pharmaceutical and/or medical health transactions.
• A full and comprehensive training program will be provided.
• This role is well suited for those who enjoy working as part of a team and are driven to provide exceptional service.

Key Responsibilities

• Respond to inbound phone calls and process customer inquiries/requests into the appropriate system or database.
• Use sound judgment to resolve customer billing inquiries.
• Analyze account history and make appropriate changes based on gathered information and customer requests.
• Escalate calls as needed.
• Provide customers with routine health care information on effective dates of coverage, claims history, deductible and coinsurance amounts, and medical benefits.

Requirements & Tech Stack

• High School Diploma or equivalent.
• Minimum of up to 1 year of related experience.
• Previous customer service experience in a call center environment.
• Strong preference for experience working with United States healthcare systems including Medicare, Medicaid, Affordable Care Act, Commercial, Small/Large Group, and/or Pharmaceutical Benefits Management.
• Intermediate computer proficiency, including keyboarding skills and the ability to navigate through multiple programs within a Windows-based environment.
• Excellent interpersonal and professional communication skills.
• Demonstrated enthusiasm for providing quality service in a professional environment.
• Ability to thrive in a dynamic, team environment while remaining knowledgeable of our evolving industry.
• Ability to communicate complex information in tangible, simple terms.
• Proven ability to adapt communication style based on customer's level of understanding.
• Strong commitment to continuous learning and development.
• Strong research and problem-solving skills.