About this role
Role Overview
- Handle incoming calls, explain healthcare benefits, services, and provider options clearly.
- Identify needs, research information, and determine appropriate next steps or referrals.
- Make outbound calls as needed to complete research or deliver updates.
- Collect and update member demographic data in the system.
- Follow company procedures and healthcare regulations, including HIPAA and COBRA guidelines.
- Transfer inquiries to the appropriate internal/external contacts when needed.
Requirements
- At least one year of customer service experience, preferably in a healthcare setting.
- Strong Communicator: You explain complex information clearly and maintain professionalism on every call.
- Organized & Reliable: You can manage multiple member requests while maintaining attention to detail.
- Comfortable with Systems: Proficient in Microsoft Word, Excel, and call documentation tools.
- Adaptable & Willing to Learn: Open to training and building expertise in healthcare plans, systems, and regulations.
Benefits
- Work from home opportunity
- Comprehensive Training & Equipment: We set you up for success with thorough onboarding, ongoing development, and all necessary work equipment.
- Competitive Pay: We offer a starting hourly rate of $16.50.
- Comprehensive Benefits: Enjoy robust medical, dental, and vision coverage, 401(k) with company match, PTO, and professional development opportunities.
- A Culture of Purpose & Impact: You’ll be part of a team that values empathy, innovation, and a shared mission to simplify healthcare for all.
- Career Growth & Development: Whether you’re starting fresh or looking to expand your expertise, we provide mentorship, training, and growth opportunities to help you advance.