Customer Service Representative - Healthcare - Project Based

Continuum Global Solutions; North Carolina; Remote; USD 20,664 - 23,419; Full time

Benefits offered by this job

Competitive salary

Paid virtual training

Access to up to 50% of pay immediately after shifts

Professional development opportunities

Job summary

A leading customer care service provider is seeking remote Customer Service Representatives for healthcare initiatives. Ideal candidates will support inbound calls, assist members with their health and wellness inquiries, and guide them through troubleshooting. The role requires a High School diploma and previous call center experience, along with exceptional communication skills. Bilingual Spanish positions are available, offering competitive hourly rates. The company provides virtual training and flexible work options.

Qualifications

• Must be 18 years or older and possess a High School diploma or its equivalent.
• At least 6 months of experience as a health plan call center agent is required.
• Must be fluent in Spanish for bilingual positions.
• Must have exceptional customer service skills and be detail-oriented.

Responsibilities

• Support inbound calls from U.S. based members/providers regarding health questions.
• Provide essential information on benefits and coverage to callers.
• Resolve customer concerns related to healthcare issues.

Skills

Exceptional customer service

Active listening

Verbal and written communication

High computer proficiency

Education

High School diploma or equivalent

Tools

Computer applications

Job description

Customer Service Representative - Healthcare - Project Based

Join to apply for the Customer Service Representative - Healthcare - Project Based role at Continuum Global Solutions

Are you an exceptional listener who, when it comes to challenging problems, uses your communication skills, empathy, and willingness to help others to provide a positive experience? Do you want to AIM HIGHER. REACH FARTHER. ACT BOLD. BE PASSIONATE. BE ONE. HELP MANY. BE DIFFERENT. BE YOU, and LEARN MORE. TAKE ACTION?

JOIN OUR TEAM TODAY!

We are hiring remote Project Based Bilingual Spanish & Non-Bilingual Healthcare Customer Service Representatives who will support inbound calls from U.S. based members/providers who have questions about their health, wellness, pre-authorizations, copayments, and plans/coverage. You must possess a positive personality with a desire to understand concerns, build trust, and show your care for every customer.

Responsibilities

• Actively listen to customers to understand their concerns & build a rapport that will make them feel heard and cared for
• Provide essential information to members regarding access to care issues, benefits, proof of coverage, member handbook, etc.
• Guide callers through troubleshooting, navigating self-service options and using company site and/or products or services
• Utilize client specific knowledge systems to research & review multiple documents to better serve the customer while keeping them engaged
• Follow instructions provided through documented processes and procedures to ensure all compliance is met for government audits
• Empathize and resolve concerns to simplify the customer’s healthcare experience
• Navigate through multiple computer applications with speed & accuracy
• Adapt to learn new call types when business needs change and flex support in those areas

Work at Home Requirements

• High-Speed Internet With At Least 50 Mbps Download Speed & 10 Mbps Upload Speed (No Satellite, Wifi, or Cellular/Wireless Carrier Internet Services 5G)
• Must have a hard-wired internet connection via ethernet cable to modem/router that you own/are responsible for. (Continuum will ship you company equipment to use except the headset)
• Training will require you to be on webcam 100% of the time (webcam will be provided with training equipment)
• Dedicated, quiet, & secured workspace with no distractions
• A USB wired headset with noise canceling microphone

Additional Requirements

• 18+ Years & High School diploma or its equivalent
• Minimum of 6 months of previous experience as a health plan call center agent (member service, provider service, pharmacy plan member service)
• Medicare and/or Medicaid experience would be a plus
• Exceptional customer service, active listening, and verbal and written communication skills
• High computer proficiency and navigation of multiple applications
• Willing to work any shift between 10:00am-1:00am 7 days a week Eastern standard time + holidays & weekends (on holidays, extend hours 24/7 to small staff)
• Customer focused personality and a desire to help people

Benefits & Perks

• Bilingual Spanish $17 per hour + Overtime during peak needs
• Non-Bilingual $15 per hour in training, pay increases to $15.50 after trainings is completed
• Access up to 50% of your pay immediately after your shift
• Paid, Virtual Training
• Remote work environment
• Opportunity for Professional Development

About Continuum Global Solutions

Continuum Global Solutions partners with leading companies worldwide to deliver exceptional customer care services through our global network of contact centers. Our Fortune 500 clients rely on our expertise to enhance customer experiences using world-class voice, chat, email, and social technologies. Learn more at www.continuumgbl.com.

Equal Opportunity Employer

Continuum is an Equal Opportunity Employer. We consider applicants without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, disability, military/veteran status, citizenship status, genetic information, or any other characteristic protected by law. Applicants have rights under federal employment laws: FMLA, EEO, and EPPA.

Code of Ethics

We are committed to integrity, compliance, and respect for all individuals. By submitting your application to Continuum Global Solutions, you certify that all information provided in this application, as well as in any supporting documents, is true, complete, and accurate to the best of your knowledge. You understand that any misrepresentation, falsification, or omission of information may disqualify you from further consideration for employment or, if discovered after employment begins, may result in disciplinary action up to and including termination of employment. Continuum Global Solutions reserves the right to verify the accuracy of all information provided.

Salary Transparency

In compliance with applicable state laws, Continuum includes compensation details in job postings. For this position, the expected pay range is $15-17 per hour, based on experience and qualifications. Continuum is committed to pay equity and transparency in all hiring practices.

Recruitment Integrity

Official recruiting emails will come from an @continuumgbl.com address. Continuum will never request payment from candidates. Report suspicious activity to [e-mail].

Seniority level

Associate

Employment type

Full-time

Job function

Customer Service

Industries

Outsourcing and Offshoring Consulting, Telecommunications, and Telephone Call Centers