Remote CSR II: Healthcare Member Support Specialist

JobDiva, Inc.; Arlington (VA); Hybrid; USD 36,000 - 48,000; Full time

Job summary

JobDiva, Inc. is seeking a Customer Service Representative 2 to support health plan members and providers from a hybrid Arlington, VA setting.

The role involves handling inquiries about benefits, eligibility, and claims, while maintaining accurate CRM records and delivering empathetic, clear communication. The CSR II position emphasizes problem-solving, collaboration, and a customer-centric approach to ensure high satisfaction and better health outcomes, with training and schedule details

Qualifications

• Bilingual in Spanish & English is a plus.
• Customer Service Experience: 1-2 years in a customer service role, preferably healthcare.
• Healthcare Knowledge: Familiarity with healthcare terminologies and benefits.
• Call Center Experience: 1 year+ handling high call volumes.
• Excellent communication, interpersonal and negotiation skills.

Responsibilities

• Answer and manage inbound inquiries regarding health plan benefits, eligibility, claims, and billing.
• Ask questions to identify issues and document information in computer systems.
• Explain complex healthcare information in simple terms for customers.
• Handle and process customer complaints with de-escalation skills.
• Meet performance goals for efficiency, accuracy, quality, and attendance.

Skills

Bilingual (Spanish/English)

Customer service experience

Healthcare knowledge

Call center experience

Strong communication

Tools

CRM systems

Microsoft Office

Job description

JobDiva, Inc. is seeking a Customer Service Representative 2 to support health plan members and providers from a hybrid Arlington, VA setting.

The role involves handling inquiries about benefits, eligibility, and claims, while maintaining accurate CRM records and delivering empathetic, clear communication. The CSR II position emphasizes problem-solving, collaboration, and a customer-centric approach to ensure high satisfaction and better health outcomes, with training and schedule details