[Remote/WFM] Remote Customer Service Representative/Call Center

Core Information:Position: Remote Customer Service Representative/call CenterStart Date: Immediate openings availableLocation: RemoteCompensation: a competitive salaryCompany: Workwarp  Hire Connections is working with a non-profit healthcare organization searching for a enthusiastic Customer Service Representative to join their team! This individual will be assisting customers with their questions or inquiries, researching and providing information regarding policies, procedures, and benefits for members or providers, and assist with departmental projects as needed.

Essential... Duties:

· Answers incoming calls, demonstrating a customer-focused philosophy for all customers including, but not limited to, providers, members, potential members, state agencies and other internal and external customers.
• Explains existing policies, procedures and benefits to members, providers and internal departments.
• Researches, resolves and documents customer inquiries, concerns and issues. Provides accurate information and education for all inquiries.
• Conducts outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed.
• Utilizes resource materials, policies and procedures, handouts, databases, training opportunities and multiple systems to help with day-to-day activity.
• Provides clear and thorough documentation into our CRM tool for each call received.
• Maintains strict confidentiality of member, provider, clinical and organizational information.
• Must be able to communicate clearly and effectively with all internal departments and staff, as well as members, providers, state agencies and other external contacts.
• Works closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment and compliance with state and federal regulations and NCQA requirements
• Assists with departmental projects as necessary and directed by the Customer Service management team. Performs other duties as assigned in between calls or during slow periods
• Additional tasks as assigned

Job Requirements:

· Ability to work in a call center environment and answer inquiries in a professional manner

· 1-2 years of customer service experience

· Must have strong Microsoft office skills

· High School diploma or equivalent required.

· Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred)

· Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties.

· Demonstrates support for the client’s mission, vision, and values.

· Must have strong written and verbal communication skills, problem-solving skills, attention to detail, organizational and time management skills and ability to handle multiple priorities

This is a contract role with the pay being $19 – 24/ hours depending on experience!

#IND1

Job Types: Full-time, Contract

Pay: $19.00 - $24.00 per hour

Benefits:
• Dental insurance
• Health insurance
• Vision insurance

Experience:
• Customer service: 1 year (Preferred)
• Call center: 1 year (Preferred)

Location:
• Denver, CO (Required)

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