Remote Healthcare Customer Service Representative

Are you passionate about helping others and making a difference in the healthcare industry? We're seeking dedicated and compassionate individuals to join our team! As a Healthcare Customer Service Representative, you'll provide critical support to patients and members, answering questions, resolving issues, and ensuring they receive the care and information they need. Experience with Health Insurance, Prior Authorizations, and Specialty Care Management is preferred!
salary: $17 - $17.5 per hour
shift: First
work hours: 8 AM - 8 PM
education: High School
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.
? Schedule appointments, process referrals, and coordinate care between providers and patients.
? Resolve customer issues efficiently, including complaints or discrepancies related to claims or service delivery.
? Document all customer interactions and updates in the system accurately and in compliance with HIPAA and company policies.
? Collaborate with internal departments to address and escalate unresolved concerns, ensuring a seamless customer experience.
? Educate patients or members about available healthcare resources and services, promoting preventative care options.
? Follow established scripts and protocols while maintaining a professional and empathetic tone in all communications.
Skills
? Telephone Etiquette
? Empathy
? Basic Computer Skills
? Healthcare
? Prior Authorization
? Medical Terminology
Qualifications
? Years of experience: 1 year
? Experience level: Entry Level
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.