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Remote- Healthcare Customer Service

Remote, USA Full-time Posted 2025-11-03
Job Title: Healthcare Customer Service Contract Duration: 3 month with potential to extend or convert... Pay Rate: $20.00/hr Location: Remote - Must reside in US Work Hours: 8:30 - 5:30 EST Qualifications/Skills Needed • 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties • Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment • Operation of office equipment such as a personal computer • Knowledge of medical terminology • Time management & organizational skills are a MUST • Knowledge of medical terminology • Communication skills required • Great excel skills • High school diploma or equivalent • Basic knowledge of Microsoft office Day To Day Responsibilities Of Role • Assist in activities related to the medical and psychological aspects of utilization and coordinated care • Outreach attempts via telephone to members assigned each day • Consistently updating an excel spreadsheet with member assignments listed • Consistent communication with supervisor • With each phone call- documentation is required in Virtual Health Performance Expectations • Must be able to make high volume of outbound calls • Medical terminology • Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) Please put on Resume. • Completing 80-120 phone calls a day to the Medicare Population • Compliance is required to be 100% of all assigned members • Engagement Rate will need to be at 80% or more a month • Time off is not permitted in the first 90 days of employment unless pre-planned during the interview • Audit score of a minimum of 90% • Completion of 600 members a month is required (30 new members daily assigned Apply Job!  

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