Healthcare Customer Service Rep
Job Summary
We are seeking a Healthcare Customer Service Representative to handle inbound calls from patients, members, and providers. The ideal candidate will assist customers with benefits, billing, claims, and service-related inquiries while maintaining data accuracy. A minimum of 6 months of call center experience in a healthcare account is required.
Responsibilities
- Handle inbound calls from healthcare customers
- Assist with account, benefits, and billing concerns
- Resolve customer issues and escalate complex cases
- Document interactions accurately in the system
Required Skills
- At least High School Graduate
- 6 months call center experience (Healthcare)
- Good communication and customer service skills
- Ability to work in a fast-paced shifting schedule
Job Details
QUALIFICATIONS
At least High School Graduate/Senior High School Graduate
At least 6 months call center experience required (Healthcare Account)
Good communication and customer service skills
Willing to handle inbound customer calls
Willing to work in a fast-paced customer service environment
Willing to work a shifting schedule
Can start asap
Salary will be based on experience, interview performance, and assessment results
RESPONSIBILITIES
Handle inbound calls from patients, members, providers, or healthcare customers
Assist customers with account, benefits, eligibility, billing, and service-related concerns
Provide accurate and appropriate information based on established processes and guidelines
Assist with basic inquiries regarding healthcare plans, coverage, claims, appointments, and services
Verify and update customer information while maintaining data accuracy and confidentiality
Resolve basic customer concerns and provide appropriate solutions or next steps
Escalate complex or sensitive healthcare concerns to the appropriate department or support team
Troubleshoot basic account and service-related issues
Document customer interactions, concerns, and resolutions accurately in the system
Follow established healthcare, customer service, privacy, and compliance procedures
Maintain professionalism, empathy, and patience when assisting customers
Deliver a positive customer experience on every interaction
Meet established quality, productivity, attendance, and customer satisfaction targets