Job Description

HIRING FOR REMOTE HEALTHCARE CUSTOMER SERVICE REPRESENTATIVES

Help improve the health and lives of members in your community by delivering high-quality customer service that is a part of a managed healthcare service. This is your chance to help your community all while in the comfort of your home!

--Must reside in Mississippi to qualify--

Come join one of the leading managed healthcare services as a DIRECT HIRE, full-time employee!

WHY YOU ASK?

• Schedule: Monday through Friday with possible weekend rotation
• Remote position
• All equipment is provided upon hire
• Full-time, permanent position
• Full benefits upon hire!

*JOB FUNCTION:*

Provides customer support and stellar service to meet the needs of members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating the company's values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

Skills/Responsibilities:

• Responds to incoming calls from members and providers on a variety of issues of varying complexity, including highly complex issues.
• Completes research for state, legislative or regulatory inquiries as applicable.
• Gathers information to critically evaluate options, seeking alternative perspectives to identify root causes and develop solutions.
• Handles escalated calls on behalf of management.
• Provides excellent customer service.
• Accurately documents all calls.
• Achieves individual performance goals as it relates to call center objectives.
• Engages and collaborates with other departments.
• Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations.
• Assists with training needs of employees as needed.
• Member Skills: Support member needs for a wide variety of inquiries and assistance involving their benefits, claims, premiums, and other areas including very complex issues. Conducts initial research and works to immediate resolve issues. Appropriately escalates issues based on established risk criteria.
• Provider Skills: Support provider needs for a wide variety of inquiries and assistance involving claims, authorizations, appeals, contracting, credentialing and other areas including the most complex issues. Conducts initial research and works to immediate resolve issues. Appropriately escalates issues based on established risk criteria.
• Provider Skills: Support provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.

ANY INTERESTS OR INQUIRIES PLEASE APPLY HERE

Job Type: Full-time

Salary: $18.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• On-the-job training
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance
• Work from home

Experience level:

• 1 year

Shift:

• Day shift

Weekly day range:

• Monday to Friday

Experience:

• Healthcare: 1 year (Required)
• Customer service: 1 year (Required)
• Call center: 1 year (Required)

Work Location: Remote

Job Type: Full-time

Pay: $16.63 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• On-the-job training
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance
• Work from home

Experience level:

• 1 year

Shift:

• 8 hour shift
• Day shift
• Evening shift
• Morning shift

Weekly day range:

• Monday to Friday
• Weekend availability

Work setting:

• Remote

Experience:

• Healthcare: 1 year (Required)
• Call Center: 1 year (Required)
• Customer Service: 1 year (Required)

Work Location: Remote

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