Onsite Healthcare Concierge: Member & Provider Support

KMC Solutions; Medellín; On-site; COP 13,392,000 - 20,088,000; Full time

Job summary

KMC Solutions is seeking a Customer Service Representative onsite in Medellín to support members and providers with healthcare benefit questions, eligibility checks, and claims inquiries. You will deliver a high-quality concierge experience while navigating multiple systems.

The ideal candidate has healthcare call center experience, strong communication skills, attention to detail, and a willingness to learn new systems, processes, and HIPAA-guided confidentiality.

Qualifications

• At least 2 years of healthcare customer service or healthcare call center experience.
• Understanding of healthcare terminology including: claims, provider networks.
• Strong written and verbal communication skills.
• Ability to multitask and navigate multiple systems while assisting customers.

Responsibilities

• Answer inbound calls from members and healthcare providers in a professional, customer-focused manner.
• Assist members with inquiries about ID cards, provider networks, and eligibility verification.
• Assist providers with inquiries about member eligibility and general provider support.
• Document all interactions and follow-up items according to procedures.
• Navigate multiple healthcare systems and resources to research and resolve inquiries.
• Follow HIPAA guidelines and keep member information confidential.
• Take ownership of concerns and work toward first-contact resolution.
• Identify issues that need escalation and follow the escalation process.
• Support continuous improvement by spotting trends and process gaps.

Skills

Healthcare CS

Written & verbal comms

Multitasking & systems

Tools

CRM platforms

Ticketing systems

Call center platforms

Job description

KMC Solutions is seeking a Customer Service Representative onsite in Medellín to support members and providers with healthcare benefit questions, eligibility checks, and claims inquiries. You will deliver a high-quality concierge experience while navigating multiple systems.

The ideal candidate has healthcare call center experience, strong communication skills, attention to detail, and a willingness to learn new systems, processes, and HIPAA-guided confidentiality.