Customer Service Representative

Russell Tobin; United States; Remote; USD 48,000 - 70,000; Full time

Job summary

A leading company is seeking a REMOTE Customer Service Representative to assist clients in the healthcare industry. This role involves addressing customer inquiries, documenting issues, and ensuring high-quality service. Candidates should have a high school diploma and at least two years of customer service experience. The position requires flexibility for evening shifts and holiday work. Comprehensive healthcare benefits are offered.

Benefits

Comprehensive healthcare coverage

401(k) retirement savings

Life & disability insurance

Employee assistance program

Identity theft protection

Legal support

Auto and home insurance

Pet insurance

Employee discounts

Qualifications

• Minimum 2+ years Customer Service experience required.
• Ability to type a minimum of 40 wpm is required.

Responsibilities

• Address and resolve customer service calls empathetically.
• Respond and resolve inquiries on the first call.
• Coordinate with field Care Team staff for issue resolution.

Skills

Customer Service

Problem Solving

Communication

Education

High School Diploma or GED

College preferred

Job description

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Direct message the job poster from Russell Tobin

Senior Associate Recruiter at Russell Tobin

Russell Tobin & Associates is currently seeking a REMOTE Customer Service Representative to work for our client in the healthcare industry. Apply now for consideration!

Contract: 6 months

Location: REMOTE (rotating shifts between 8am-8pm EST---2 8pm shifts required during the week other days flexible.)

Responsibilities:

• Address and resolve customer service calls empathetically and professionally
• Accurately document, research and resolve all inquiries ensuring documentation is clear and complete
• Respond and resolve inquiries on the first call by identifying the topic and type of assistance the caller needs (benefits, eligibility, material requests, physician assignments, claims, billing and payment, etc.) utilizing all resources available.
• Monitor and expeditiously close any inquiries which require follow up based on departmental guidelines
• Refer unresolved inquiries/Grievances to designated areas for investigation
• Own problem through resolution on behalf of the caller in real time or through comprehensive and timely follow up with support resources/partner with others to resolve complex issues.
• Intervene with care providers (doctor's offices) on behalf of participants (assist with appointment scheduling, access to care issues, etc.)
• Assist providers with all levels of requests, ability to problem solve through resolution
• Coordinate with field Care Team staff for issue elevation and resolution
• Maintain up-to-date knowledge and understanding of claims policies, regulatory requirements and guidelines
• Successfully utilize all resources available to handle inquiries/multitask.
• Meet or exceed individual and departmental quality standards/achieve performance goals
• Adhere, keep updated and utilize all company guidelines, policies and procedures
• Prioritize and adjust individual workload to ensure departmental goals are met
• Assume responsibility for ad hoc projects or functions that promote the future success of the operation

Requirements:

• High School Diploma or GED, College preferred
• Minimum 2+ years Customer Service experience, ACD Call Center experience preferred
• Availability to work two evening shifts per week (typically 11am-8pm EST)
• Availability to work three Holidays not observed (Day after Thanksgiving, Christmas Eve, New Year's Day)
• Reliable High-Speed Internet/ability to hardwire connection to home router
• Ability to type a minimum of 40 wpm is required
• Knowledge of CPT/ICD10 coding preferred

Russell Tobin / Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Customer Service

• Industries

  Staffing and Recruiting

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Inferred from the description for this job

Medical insurance

Vision insurance

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