**Experienced Remote Healthcare Customer Service Representative – Compassionate Patient Support and Healthcare Navigation**

About Us

We are a dynamic and patient-centric organization dedicated to delivering exceptional healthcare services to individuals and families across the nation. Our mission is to provide compassionate support and expert guidance to those navigating the complexities of the healthcare system. As a Remote Healthcare Customer Service Representative, you will play a vital role in helping us achieve this mission by providing top-notch customer service and ensuring that our patients receive the care and information they need to thrive.

Job Summary

We are seeking a highly motivated and empathetic Remote Healthcare Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for handling a high volume of inbound and outbound calls, providing accurate information regarding healthcare plans, benefits, and eligibility requirements, and resolving customer issues efficiently. If you are passionate about helping others and making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity.

Responsibilities

• Handle a high volume of inbound and outbound calls, assisting patients or members with inquiries related to healthcare services, insurance coverage, and billing.
• Provide accurate information regarding healthcare plans, benefits, and eligibility requirements, ensuring that patients receive the care and information they need to make informed decisions.
• Schedule appointments, process referrals, and coordinate care between providers and patients, ensuring seamless communication and timely resolution of issues.
• Resolve customer issues efficiently, including complaints or discrepancies related to claims or service delivery, and escalate unresolved concerns to internal departments as needed.
• Document all customer interactions and updates in the system accurately and in compliance with HIPAA and company policies, maintaining confidentiality and adhering to data protection protocols.
• Collaborate with internal departments to address and escalate unresolved concerns, ensuring a seamless customer experience and promoting a culture of excellence.
• Educate patients or members about available healthcare resources and services, promoting preventative care options and empowering them to take control of their health.
• Follow established scripts and protocols while maintaining a professional and empathetic tone in all communications, ensuring that patients receive personalized support and guidance.

Requirements

To be successful in this role, you will need to possess the following qualifications and skills:

Essential Qualifications

• 1 year of experience in a customer service or healthcare-related role.
• High school diploma or equivalent required.
• Excellent communication and interpersonal skills, with the ability to build rapport with patients and colleagues.
• Strong problem-solving and analytical skills, with the ability to resolve complex issues efficiently.
• Basic computer skills, with proficiency in Microsoft Office and other software applications.
• Ability to work in a fast-paced environment, handling multiple calls and tasks simultaneously.
• Flexibility to work a variety of shifts, including evenings and weekends.

Preferred Qualifications

• Experience with health insurance, prior authorizations, and specialty care management.
• Knowledge of medical terminology and healthcare concepts.
• Experience working in a remote or virtual environment.
• Certifications in customer service, healthcare, or a related field.

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Telephone etiquette and communication skills.
• Empathy and active listening skills, with the ability to build rapport with patients and colleagues.
• Basic computer skills, with proficiency in Microsoft Office and other software applications.
• Healthcare knowledge and medical terminology.
• Problem-solving and analytical skills, with the ability to resolve complex issues efficiently.
• Time management and organizational skills, with the ability to prioritize tasks and meet deadlines.

Career Growth Opportunities and Learning Benefits

We offer a range of career growth opportunities and learning benefits to support your professional development and success:

• Opportunities for advancement and professional growth within the company.
• Training and development programs to enhance your skills and knowledge.
• Access to industry-leading tools and technologies.
• Mentorship and coaching from experienced colleagues.
• Opportunities to participate in company-sponsored events and conferences.

Work Environment and Company Culture

We offer a dynamic and supportive work environment that fosters collaboration, innovation, and excellence:

• Remote work options, with the flexibility to work from home or a designated office space.
• A diverse and inclusive culture that values diversity, equity, and inclusion.
• A commitment to employee well-being and work-life balance.
• A range of employee benefits and perks, including health insurance, paid time off, and professional development opportunities.

Compensation, Perks, and Benefits

We offer a competitive compensation package, including:

• A competitive hourly rate, ranging from $17 to $17.5 per hour.
• A comprehensive benefits package, including health insurance, paid time off, and professional development opportunities.
• An incentive and recognition program to reward outstanding performance and contributions.
• A 401K contribution program to support your long-term financial goals.

How to Apply

If you are a motivated and compassionate individual who is passionate about helping others and making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity:

Click on the "Apply Now" button below to submit your application, including your resume and a cover letter outlining your qualifications and experience.

We look forward to hearing from you and exploring how you can contribute to our mission to deliver exceptional healthcare services to individuals and families across the nation.