Call Center Representative

Access Healthcare; United States; On-site; USD 34,000 - 42,000; Full time

Job summary

Access Healthcare is seeking a Call Center Representative to handle inbound and outbound calls from patients, delivering high-quality customer service and accurate information.

You will meet daily call volume targets, document patient interactions, and resolve inquiries, while following standard operating procedures and healthcare terminology. Strong typing, data accuracy, and bilingual English/Spanish are pluses; HS diploma and healthcare claims processing experience preferred.

Qualifications

• Typing skills with accuracy for data entry.
• Strong analytical abilities to catch data errors.
• Knowledge of medical terminology for reading documents.
• Cognitive skills in language, math, and reasoning.
• Excellent communication and interpersonal abilities.
• Ability to work in a diverse environment.

Responsibilities

• Take inbound and make outbound calls to patients.
• Meet daily call volume and production goals.
• Build rapport and deliver quality customer service.
• Process transactions per standard operating procedures.
• Meet production and quality targets, ensure policy compliance.
• Answer questions and resolve issues timely and accurately.

Skills

Typing skills

Data accuracy

Analytical skills

Medical terminology

Interpersonal skills

Decision making

Communication skills

Problem solving

Time management

Bilingual EN/ES a plus

Education

High school diploma or equivalent

1 year of experience processing healthcare claims

Job description

Job Summary:The Call Center Representative is responsible for addressing inbound & outbound calls and ensuring the highest level of quality customer services to our client's patients.Supervisory Responsibilities:This position has no direct supervisory responsibilities.Duties/Responsibilities:Take Inbound and make outbound calls to new and existing customers from our PM systemMeet or exceed daily call volume and production goalsBuild great rapport with client’s patients to ensure quality customer serviceProcess transactions assigned as per the defined standard operating procedure.Meet or exceed the production & quality accuracy target/goals assigned.Plans, prioritizes, organizes, and completes work to meet established objective.Ensure the compliance of the company’s policies to cooperate with standards and procedures.Answer questions and resolve issues for consumers and clients timely and accurately.Perform other related duties as assigned.Required Skills/Abilities:Typing skills and accuracy in keying data required.Should have strong analysis skills, including the ability to catch data that represents inaccurate/incomplete from the actuals.Should be good in logical reasoning and connect to the process to catch errors.Extensive knowledge of medical terminology with the ability to correctly read and assess medical documents.Basic cognitive skills that include language, math, and reasoning ability.Solid interpersonal skills with the ability to work with people with diverse backgrounds (both non-technical and highly technical users). Demonstrated ability to build and maintain business relationships internally and externally.Decision-Making Skills - Capable of arriving at the appropriate decisions after weighing the pros and cons of all the options.Excellent verbal and written communication skills in addition to be a good listener to give value to the opinion and suggestion of others. This includes ability to communicate with the customers if needed.Exceptional problem solving and solution driven skills with the ability to review problem, troubleshoot root cause issues and determine path to resolution.Strong attention to detail to handle the complex claims.Able to work effectively in a changing environment and be able to contribute innovative ideas.Excellent time management and organizational skills balancing multiple priorities.Self-starter, able to independently drive work.Bilingual English & Spanish a plusEducation and Experience:1 year of experience in processing healthcare claimsHigh school diploma or equivalentPhysical Requirements:Prolonged periods of sitting at a desk and working on a computer.