Remote Part time Customer Service Representative

Guidehealth; Albuquerque (NM); Remote; USD 10,000 - 60,000; Part time

Job summary

Join a forward-thinking healthcare company dedicated to operational excellence as a part-time Customer Service Representative. In this role, you will be the voice of the company, providing essential support to clients and members while ensuring a high level of professionalism. You'll handle inquiries regarding healthcare claims, coverage, and payment statuses, all while working with a team that values empathy and innovation. This is a fantastic opportunity for individuals with a passion for helping others and a strong background in healthcare customer service. If you're ready to make a meaningful impact in the healthcare industry, this position is perfect for you.

Benefits

Fully remote work

Provided equipment for work

Flexible working hours

Qualifications

• 2+ years experience in a high volume healthcare call center required.
• Knowledge of healthcare claims review and health insurance background.

Responsibilities

• Handle client and member calls with accuracy and professionalism.
• Provide excellent customer service and maintain call documentation.

Skills

Customer Service

Problem Solving

Verbal Communication

Written Communication

Healthcare Claims Review

Tools

Teams

Excel

Jira

Job description

WHO IS GUIDEHEALTH?

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Job Description

Our Customer Service Representatives are responsible for answering the phones in a timely manner, being skilled problem solvers, working well with others, and meeting set quality standards. They must be courteous and professional while providing information to callers, along with handling additional projects and assistance with mailing projects as needed.

What You’ll Be Doing

• Assuring the accurate and timely handling of client and member calls with total follow through.
• Providing excellent customer service.
• Answering client and provider questions including, but not limited to claims payment, status, and coverage information.
• Interpreting client health plan protocol.
• Reviewing claims status and providing status to members.
• Check tracer documentation.
• Maintaining accurate and complete call documentation.
• Maintaining a high level of professionalism.
• Returning incoming calls.
• Other duties as assigned.

What You'll Need To Have

• This position is available only for part-time hours with a minimum requirement of 20-24 hours/week.
• Applicants must be available between 8 AM and 6 PM Central Time.
• We are only considering candidates from the CST, MST, and PST time zones.
• Minimum of 2 years experience in a high volume healthcare call center required.
• Knowledge of healthcare claims review.
• Health Care/Health insurance background required.
• Experience with BCBS HMOI or other insurance plans a plus.
• Use of multiple systems including Teams and Excel; Jira is a plus.
• Excellent verbal and written communication skills.

What We Would Love For You To Have

• HMO Managed care Medicare Advantage experience.
• Experience with multiple customer service channels including chat, text, virtual assistant.

Compensation

The base pay range for this role is between $19.00 to $20.00 per hour, paid bi-weekly.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT

Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Remote Work Technical Requirements

Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The recommended internet speed is a minimum of 50 mbps download, 10 mbps upload.