Healthcare Call Center Representative

Role Overview

• 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).
• Actively listen to understand customers’ needs and answer their questions.
• Strive to answer the un-asked question(s) for one call resolution.
• Navigate the Members’ plan benefits, review Client's policy and procedures,
• CSR is required to utilize multiple Client systems to provide accurate information.
• Effectively multi-tasking.
• Demonstrate proficiency in problem-solving skills.

Requirements

• 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.

Benefits

• Medical, Dental, and Vision benefits are available on the 1st day of employment.
• Paid time off is accrued after 180 days of employment.