Call Center Associate

Jobtailor; United States; On-site; USD 32,000 - 42,000; Full time

Job summary

Jobtailor is seeking a dedicated healthcare customer service representative to handle inquiries via phone, fax, mail, and email with accuracy and empathy.

Responsibilities include verifying information, investigating claims, and maintaining documentation while meeting quality and production standards within a fast-paced health-insurance environment.

Candidates should have strong communication, medical terminology knowledge, and multitasking abilities, with attention to detail and teamwork.

Qualifications

• High School Diploma or GED required.
• Experience in a call center or customer service within health insurance preferred.
• Medical terminology and medical billing coding preferred.
• Excellent customer service skills including the ability to manage and diffuse irate calls.
• Ability to work in a high pressure, fast-paced environment.
• Keyboarding and PC proficiency required.
• Strong verbal and written communication and interpersonal skills.
• Investigative and analytical skills with multitasking ability.
• Time management and flexibility with teamwork.

Responsibilities

• Provide excellent service to customers by resolving basic inquiries received by phone or written correspondence
• Receive inquiries via phone, fax, mail, and email, gathering additional information when needed
• Review computer systems and reference materials to complete verification
• Initiate investigations involving claims, member information, benefits, enrollment, and appeals
• Resolve or redirect inquiries using departmental processes
• Document inquiries and actions taken for appropriate follow-up
• Follow up on unresolved issues and elevate call trends to management
• Deliver excellent customer service while meeting quality and production standards
• Perform other relevant tasks assigned by management

Skills

Customer service

Medical terminology

Medical billing coding

Investigative skills

Time management

Multitasking

Verbal communication

Written communication

Interpersonal skills

Active listening

Analytical skills

Keyboarding

PC proficiency

Education

High School Diploma/GED

Tools

Keyboarding Proficiency

PC Proficiency

Job description

• Provide excellent service to customers by resolving basic inquiries received by phone or written correspondence


• Receive inquiries via phone, fax, mail, and email, gathering additional information when needed


• Review computer systems and reference materials to complete verification


• Initiate investigations involving claims, member information, benefits, enrollment, and appeals


• Resolve or redirect inquiries using departmental processes


• Document inquiries and actions taken for appropriate follow-up


• Follow up on unresolved issues and elevate call trends to management


• Deliver excellent customer service while meeting quality and production standards


• Perform other relevant tasks assigned by management

Requirements

• High School Diploma/GED required


• Some experience in a call center or customer service role within the health insurance industry preferred


• Medical terminology and medical billing coding preferred


• Excellent Customer Service skills including the ability to manage and diffuse irate calls


• Ability to work in a high pressure, fast pace environment


• Keyboarding proficiency


• PC proficiency


• Strong verbal and written communication


• Interpersonal skills (i.e. active listening)


• Investigative and analytical skills


• Ability to multitask


• Time management skills


• Flexibility and adaptability


• Ability to work effectively within a team environment


• Employees may be required to pass test(s) to determine whether they meet minimum qualifications


• Must live in New Jersey, New York, Pennsylvania, Connecticut, or Delaware

Core Competencies

Demonstrates strong customer service capabilities, including the ability to manage inquiries and resolve issues effectively in a fast-paced environment. Proficient in medical terminology and billing coding, with strong communication and analytical skills.

Highest-signal resume keywords

• Customer Service Skills


• Medical Terminology


• Medical Billing Coding


• Investigative Skills


• Time Management Skills

ATS Optimization Keywords

Hard Skills

• Keyboarding Proficiency


• PC Proficiency


• Analytical Skills


• Multitasking Ability


• Documentation Skills

Soft Skills

• Verbal Communication


• Written Communication


• Interpersonal Skills


• Active Listening


• Flexibility

Industry Keywords

• Call Center Experience


• Health Insurance Industry


• Inquiry Resolution


• Claims Investigation


• Enrollment Processes