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We are looking for 20 dedicated Call Center Specialists to join our clients 100% remote Customer Support Team. This Contract to permanent position requires individuals who can excel in a fast-paced, high-volume call center environment. The ideal candidate will possess strong communication skills, attention to detail, and a customer-focused mindset to ensure seamless interactions and high-quality service.
Job Responsibility:
Respond promptly to inbound calls from members, medical providers, and other parties, addressing inquiries and resolving issues
Process and adjust claims accurately while adhering to established guidelines
Provide clear and empathetic communication to address customer concerns and questions
Offer detailed information on fee schedules, network participation, and procedural requirements
Maintain accurate and up-to-date customer records and collaborate effectively with internal teams
Redirect misdirected calls, troubleshoot non-routine issues, and provide suitable solutions
Investigate and resolve inquiries using decision-support tools and training resources
Educate callers on processes and validate their understanding to ensure clarity
Support organizational projects and assist other departments as assigned by management
Adapt communication styles to align with the caller’s level of understanding
Requirements:
Prior experience in healthcare, insurance, and benefits administration is highly preferred
High School diploma required
some college or business school education preferred
Proficiency in basic computer operations and intermediate skills in Microsoft Office Suite
Previous experience in a high-volume call center environment is essential
Knowledge of claims inquires, claims review procedures, and managed care policies
Familiarity with medical specialties, fee schedules, and appeals processes is highly desirable
Strong problem-solving abilities, attention to detail, and dependability
Flexible and adaptable to changes, with excellent time management and organizational skills
Nice to have:
Prior experience in healthcare, insurance, and benefits administration is highly preferred
some college or business school education preferred
Familiarity with medical specialties, fee schedules, and appeals processes is highly desirable
What we offer:
medical, vision, dental, and life and disability insurance