Remote Healthcare Call Center Representative

Conduent; New York (NY); Remote; USD 19,000 - 25,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Retirement savings plan

Paid holidays

Paid time off

Job summary

Conduent is hiring for a Remote Call Center Representative to handle healthcare-related inquiries, including benefits, enrollment, eligibility, and claims. The role emphasizes one-call resolution, empathy, and accurate information across multiple client systems.

Training lasts six weeks, with paid onboarding and benefits beginning on day one. The position requires at least 6 months of customer service experience and a high school diploma or GED.

Qualifications

• Minimum 6 months of customer service experience.
• High school diploma, GED, or college degree.
• Successful completion of a mandatory paid training program with 100% attendance.
• Background check required.
• Home workspace must be distraction-free with reliable internet and equipment provided.

Responsibilities

• Manage a steady volume of incoming calls regarding benefits, enrollment, eligibility, invoicing, claims and related topics.
• Explain Medicare Part D, Part C Medicare Advantage Programs and DSNP; answer questions about program levels.
• Actively listen to understand customer needs and perform callbacks or follow-ups as needed.
• Strive for one-call resolution and take necessary actions to resolve member issues.
• Navigate the member’s plan benefits and use client resources while complying with regulatory guidelines.
• CSR uses multiple client systems to provide accurate information.
• Demonstrate problem-solving skills and maintain politeness and focus on servicing the caller.

Skills

Customer service

Empathy

Communication skills

Education

High school diploma or GED

Tools

CRM systems

Job description

Remote Call Center Representative

We are seeking individuals who are passionate about helping others, possessing natural empathy, and providing thorough solutions for healthcare-related inquiries. If you find fulfillment in making a positive impact on people's lives, solving complex issues, and offering effective solutions, this role is for you. While call center experience is a plus, it is not a requirement.

In this position, you will be answering calls regarding healthcare benefits. The calls are related to assisting members with Medicare enrollments, billing, claims, benefits & other services as mutually agreed.

Please visit our Dedicated Landing Page to learn more about the role and hear testimonials! Dedicated Landing Page

There are plenty of career growth opportunities within the healthcare team!

You must be flexible: the hours of operation are between the hours of 7:45am-11:00pm EST MON-SAT & SUN 7:45AM-8:00PM EST.

The Pay Rate is $16.00 per hour, which may be below your state’s minimum wage. Please take this into consideration when applying.

Training: 9:00am – 5:30pm EST - Training is 6 Weeks classroom and 2 weeks Nesting & you cannot miss a day.

Paid time off is accrued after 180 days of employment.

Medical, Dental, and Vision benefits are available on the 1st day of employment.

Successfully learn 15-20 systems and average 30-40 calls per day.

About the Healthcare Call Center Representative

• Manage a steady volume of incoming calls regarding Benefits, Enrollment, Eligibility, Invoicing, Claims, and related topics .
• Fully explain the Medicare Part D, Part C Medicare Advantage Programs and Dual Special Need Program (DSNP). Answering all questions related to the program levels.
• Actively listen to understand customers’ needs and answer their questions to include callbacks and follow up calls as needed.
• Strive to answer the un-asked question(s) as we work for a one call resolution. Take all necessary action to resolve the members' issues by answering their questions.
• Navigate the Members’ plan benefits, review Client's policy and procedures, while using resources provided by the Client to comply with regulatory guidelines.
• CSR is required to utilize multiple Client systems to provide accurate information.
• Effectively multi-tasking.
• Demonstrate proficiency in problem-solving skills.
• Politeness and a strong focus on servicing the caller are important requirements.
• A few questions you can expect: Can you tell me if eyeglasses will be covered under this policy?
• I lost my ID Card; can you help me get another one?

Requirements for Remote Call Center Representative

• Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
• You must have a minimum of 6 months customer service experience.
• High school diploma, GED, or college degree.
• Complete a mandatory paid training program with 100% attendance.
• Successful completion of a background check is required for this position.
• This role is subject to continued monitoring to ensure a distraction-free workspace and to verify that no unauthorized devices, individuals, or animals are present.
• Equipment and workspace requirements: We provide all the equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)

Equipment and workspace requirements

• You must have a home internet connection with 25 Download and 10 Upload Speed (you may do a quick check through).
• Must be able to hardwire your work computer directly to your home modem via ethernet. (Ensure the available connection meets the minimum bandwidth requirements to perform your job function.
• Satellite internet and wireless internet are not acceptable.
• Must have a quiet, distraction free workspace. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area)

Important:Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.We are currently NOT hiring in the following geographies, including but not limited to:States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA Metro Areas: Minneapolis - MN, Washington, DC, Denver/Council of Boulder/Edgewater County - CO Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $16.00/hour.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy.