Healthcare Customer Service Representative

Balance Staffing; Plantation (FL); Remote; USD 19,000 - 22,000; Part time

Job summary

Balance Staffing is seeking a Healthcare Customer Service Representative to support health plan members and providers with benefits and coverage questions. This remote role requires handling inbound calls, researching plan information, resolving issues, and providing accurate, professional customer service.

The role includes documenting interactions in our systems and striving for timely resolutions. Training pay starts at $14.00/hour, increasing to $14.50/hour after training, with opportunities

Qualifications

• One of: healthcare-related experience (6 months) or strong customer service experience with phone/computer skills (1 year) or experience resolving customer issues (6 months) or office experience using phone/computer (6 months).

Responsibilities

• Assist health plan members and providers with benefits and coverage questions.
• Handle inbound calls; research account and plan information.
• Resolve issues with accurate, professional service and sound judgment.
• Document customer interactions in computer systems.

Skills

Customer service

Phone skills

Computer skills

Job description

Healthcare Customer Service Representative

Location: Plantation, FL

Work arrangement: Remote

Compensation: $14.5/year

Job Title:Seasonal Customer Service Representative - Healthcare Type of Role: Direct Hire Location: Remote

Operating Hours: 7:00 AM - 11:00 PM EST, 7 days a week

• Georgia (GA)
• Idaho (ID)
• Michigan (MI)
• Mississippi (MS)
• North Carolina (NC)
• South Dakota (SD)
• South Carolina (SC)
• Tennessee (TN)

Pay Rate

• Training: $14.00/hour
• Post-Training: $14.50/hour

Position Overview

We are seeking customer-focused professionals to assist health plan members and providers with questions regarding their healthcare benefits and coverage.

This role involves handling inbound calls, researching account and plan information, resolving issues, and providing accurate and professional customer service.

Key Responsibilities

• Help members understand the features, benefits, and coverage included in their health insurance plans.
• Respond to questions regarding benefits, eligibility, authorizations, Explanation of Benefits (EOB), physician lookups, customer material requests, status updates, and other plan-related information.
• Handle inbound calls from members and/or healthcare providers in a professional and timely manner.
• Research and resolve customer concerns accurately while using sound judgment and following established procedures.
• Take ownership of customer issues and work toward a complete and satisfactory resolution.
• Make outbound calls and transfer calls when necessary in accordance with Standard Operating Procedures.
• Accurately document customer interactions and information using computer-based systems.

Qualifications

Candidates must meet one of the following experience requirements:

• 6 months of healthcare-related experience is a plus, OR
• At least 1 year of strong customer service experience with excellent phone and computer skills, OR
• At least 6 months of customer service experience resolving customer issues, OR
• At least 6 months of office experience where the telephone and/or computer were the primary tools used to perform job duties.

Preferred Experience

• Call center experience
• Medicare and/or Medicaid experience
• Strong verbal communication and customer service skills
• Comfortable navigating multiple computer systems while assisting customers by phone
• Ongoing, full-time opportunity
• Opportunity to become eligible for benefits after 60 days
• Work-from-home position for candidates residing in an eligible state
• Opportunity to build valuable experience within the healthcare industry

About the Company

Our client is a customer experience and business process solutions provider that supports organizations across healthcare and other industries. The company combines skilled customer service teams, technology, and operational expertise to help clients deliver efficient, high-quality experiences to their customers and members.

Balance Staffing is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, Veteran status, or any other characteristic protected by federal or state law. #1188