Remote Healthcare Support Specialist II

SKYGEN; Oregon; Ibrido; USD 21.000 - 30.000; Tempo pieno

Descrizione del lavoro

SKYGEN is seeking a fully remote Customer Service Representative to assist members with dental and vision benefits, eligibility, claims, and provider searches. The role emphasizes empathy, active listening, and clear communication.

Training starts CST 8:00am–4:30pm for 12 weeks; after training, varied start times (6:00am–10:30am CST) Mon–Fri with potential overtime and occasional evenings during Medicare Open Enrollment. Experience in healthcare insurance is preferred.

Competenze

• High school diploma or equivalent.
• 1+ years of customer service experience in healthcare, call center, banking or retail.
• Strong problem-solving with empathy and patience when listening to customers.
• Proficient with Microsoft Office (Word, Excel, Outlook).
• Ability to work overtime as needed and manage multiple tasks.

Mansioni

• Servicing Dental and Vision inbound callers with eligibility, coverage, authorizations, claims and provider location help.
• Understand claim adjustments and resubmission processes to resolve provider requests.
• Provide feedback to Provider Relations on high-level claim issues for prompt resolution.
• Support enrollment activities like assigning primary care providers and updating insurance information.
• Act as liaison with Member Services to resolve eligibility, appeals and grievances.
• Update providers on credentialing status and respond to questions.
• Educate callers on using provider web portals to access benefits.

Conoscenze

Empathy

Customer service

Listening

Communication

Typing

Data entry

Multi-tasking

Problem solving

MS Office

Formazione

High school diploma or equivalent

Descrizione del lavoro

SKYGEN is seeking a fully remote Customer Service Representative to assist members with dental and vision benefits, eligibility, claims, and provider searches. The role emphasizes empathy, active listening, and clear communication.

Training starts CST 8:00am–4:30pm for 12 weeks; after training, varied start times (6:00am–10:30am CST) Mon–Fri with potential overtime and occasional evenings during Medicare Open Enrollment. Experience in healthcare insurance is preferred.