Call Center Customer Service Representative - Healthcare - Eligibility & Claims
Job description
Healthcare Customer Service Representative
Transparent Health Group is a rapidly growing healthcare benefit services company that provides the services and technology necessary to make complex health plans work for its members. We ensure employers and their employees have the information they need to make informed decisions about their healthcare benefits. Our goal is to eliminate surprises in our members' healthcare coverage!
The Call Center Representative answers phones promptly and professionally and is responsible for providing eligibility, benefits, and claim status. The ideal candidate has strong customer service and communication skills with the ability to work efficiently in a fast-paced environment.
Position Overview
Abide by all HIPAA requirements
Heavy Inbound Call Volume - Providers
Confirm Benefits and Eligibility
Ability to read and understand Benefit Overviews
Respond to Claim Inquiries via phone and email
Familiar with reading Explanation of Benefits (EOBs)
Meet and Adhere to all KPI metrics
Ability to complete daily tasks in between calls
Adhere to policies and procedures
Why Work with Us
100% remote, work-from-home position
Benefits are available on day 1 of employment which include medical, vision, and dental
In-depth training program to guarantee success in your position
Fast-growing company
Opportunities for advancement
Supportive team-based workplace
3 weeks of PTO plus 8 paid company holidays
Monday-Friday position, no weekends!
Our family values mean we are committed to a real living wage, with meaningful benefits
Requirements
Experience working in health insurance
Must possess a high level of organization, reliability, and attention to detail
Phone-based customer service call center experience (High call volume)
Comfortable working with technology
Exceptional verbal and written communication skills
Outstanding track record of attendance and adherence to schedule
Proper utilization of resources
Accept feedback in a positive manner
Quiet and private home working environment, where you can work uninterrupted for the duration of your shift
Self-starter who demonstrates working independently
Reliable high-speed Internet access required
Successful multitasker who can ensure all responsibilities are completed on time
Personal Attributes Needed for Success
Ability to build rapport with a wide range of people
Excellent follow-up and follow-through skills
Strong desire to be of service and assist others
Motivated by being in a supportive role and contributing to team success
Bilingual a plus! English and Spanish, English and Chinese, English and Mandarin, English and Russian
Familiarity with Indemnity Plans a PLUS!
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Referral program
Schedule:
8 hour shift
Day shift
Monday to Friday
Application Question(s):
Do you have any familiarity with Indemnity Plan?
Experience:
Call Center/Heavy Phone: 1 year (Required)
Medical Insurance: 1 year (Required)
Customer Service: 1 year (Required)
Work Location: Remote
Apply Now
Healthcare Customer Service Representative
Transparent Health Group is a rapidly growing healthcare benefit services company that provides the services and technology necessary to make complex health plans work for its members. We ensure employers and their employees have the information they need to make informed decisions about their healthcare benefits. Our goal is to eliminate surprises in our members' healthcare coverage!
The Call Center Representative answers phones promptly and professionally and is responsible for providing eligibility, benefits, and claim status. The ideal candidate has strong customer service and communication skills with the ability to work efficiently in a fast-paced environment.
Position Overview
Abide by all HIPAA requirements
Heavy Inbound Call Volume - Providers
Confirm Benefits and Eligibility
Ability to read and understand Benefit Overviews
Respond to Claim Inquiries via phone and email
Familiar with reading Explanation of Benefits (EOBs)
Meet and Adhere to all KPI metrics
Ability to complete daily tasks in between calls
Adhere to policies and procedures
Why Work with Us
100% remote, work-from-home position
Benefits are available on day 1 of employment which include medical, vision, and dental
In-depth training program to guarantee success in your position
Fast-growing company
Opportunities for advancement
Supportive team-based workplace
3 weeks of PTO plus 8 paid company holidays
Monday-Friday position, no weekends!
Our family values mean we are committed to a real living wage, with meaningful benefits
Requirements
Experience working in health insurance
Must possess a high level of organization, reliability, and attention to detail
Phone-based customer service call center experience (High call volume)
Comfortable working with technology
Exceptional verbal and written communication skills
Outstanding track record of attendance and adherence to schedule
Proper utilization of resources
Accept feedback in a positive manner
Quiet and private home working environment, where you can work uninterrupted for the duration of your shift
Self-starter who demonstrates working independently
Reliable high-speed Internet access required
Successful multitasker who can ensure all responsibilities are completed on time
Personal Attributes Needed for Success
Ability to build rapport with a wide range of people
Excellent follow-up and follow-through skills
Strong desire to be of service and assist others
Motivated by being in a supportive role and contributing to team success
Bilingual a plus! English and Spanish, English and Chinese, English and Mandarin, English and Russian
Familiarity with Indemnity Plans a PLUS!
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Referral program
Schedule:
8 hour shift
Day shift
Monday to Friday
Application Question(s):
Do you have any familiarity with Indemnity Plan?
Experience:
Call Center/Heavy Phone: 1 year (Required)
Medical Insurance: 1 year (Required)
Customer Service: 1 year (Required)
Work Location: Remote
Apply Now