Customer Service Professional (Remote)

Employer Industry: Healthcare Services

Why consider this job opportunity...
• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on customer satisfaction and service delivery
• Commitment to employee development and recognition of success
• Emphasis on a people-first culture that aligns personal aspirations with professional projects

What to Expect (Job Responsibilities):
• Serve as the primary liaison for members and providers regarding program inquiries such as eligibility, authorizations, and claims
• Handle and resolve customer inquiries and complaints, ensuring first call resolution
• Research and triage customer issues using available resources
• Maintain detailed call logs to record customer interactions and actions taken
• Act as the primary representative for the organization, focusing on customer engagement and relationship building

What is Required (Qualifications):
• High School Diploma or equivalent
• Minimum of 4 years in a customer service environment
• Knowledge of customer service principles and practices
• Ability to resolve customer problems while maintaining patience and courtesy
• Capability to work well under pressure in a rapidly changing environment

How to Stand Out (Preferred Qualifications):
• Associates Degree or Bachelor's Degree
• Bilingual (Spanish) or other languages
• 2+ years in an HMO/Healthcare Industry setting
• Understanding of Protected Health Information (PHI) and confidentiality
• Proficiency with MS Office suite

#HealthcareServices #CustomerService #CareerOpportunity #EmployeeDevelopment #FirstCallResolution

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