Healthcare CSR: Provider & Member Support

Catalyst Solutions; United States; Teletrabalho; USD 42 000 - 60 000; Tempo integral

Resumo da oferta

Catalyst Solutions is seeking a dedicated Customer Service Representative to join our healthcare team. This role handles high-volume inbound and outbound calls, supporting medical provider offices, members, and administrators with accurate, courteous service.

You will document interactions, escalate when needed, and ensure compliance with HIPAA and federal guidelines. Strong communication, multitasking, and MS Office proficiency are essential for success in a fast-paced, metrics-driven

Qualificações

• Background in inbound or outbound customer service or financial services for health plan or healthcare.
• Excellent oral and written communication skills.
• Proficient in MS Office products (Word, Excel, Outlook).
• Strong listening and problem-solving skills with a patient, customer-focused approach.
• Ability to multitask in a fast-paced, metrics-driven environment.

Responsabilidades

• Respond to a high volume of inbound calls from providers, members, and stakeholders.
• Coordinate with internal departments including Group Administration, Individual Administration, Electronic Eligibility, and Client Services.
• Listen attentively to caller questions and provide timely, accurate responses.
• Meet call audit standards and other metrics such as call quality and handle time.
• Document and maintain clear call records.
• Escalate calls per internal guidelines and procedures.
• Research claim-related issues to provide informed responses.
• Maintain compliance with HIPAA regulations and guidelines.

Conhecimentos

Customer service

Communication

Multitasking

Problem solving

Ferramentas

MS Office

Descrição da oferta de emprego

Catalyst Solutions is seeking a dedicated Customer Service Representative to join our healthcare team. This role handles high-volume inbound and outbound calls, supporting medical provider offices, members, and administrators with accurate, courteous service.

You will document interactions, escalate when needed, and ensure compliance with HIPAA and federal guidelines. Strong communication, multitasking, and MS Office proficiency are essential for success in a fast-paced, metrics-driven