Find Your Next Job

Customer Care Representative

Posted on Dec. 24, 2024

  • Remote, United States of America
  • No Salary information.
  • Full Time

Customer Care Representative
Important things YOU should know:
  • Training Schedule: Mon- Fri - 8:00am -4:30pm CST - After Training: Mon – Fri 7:00am – 3:30pm or 8:30am – 5:00pm CST
  • Please know hours of operation are 7:00am - 8:00pm CST so shift could flex based on business need.
  • Fully Remote Role
  • $17 and Up depending on experience
  • $2/hour differential on Mon/Tues
  • Exceptional Professional Growth
What will YOU be doing for us?
Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.
What is in it for YOU?
  • Career growth in an inclusive culture
  • Paid training
  • Health benefits
  • 401(k)
What will YOU be working on every day?
  • Servicing our Dental and Vision callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
  • Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
  • Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution.
  • Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information.
  • Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
  • Provide updates to providers with questions regarding the status of their credentialing application.
  • Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available.
  • Ensure all calls are answered according to company and client guidelines.
  • Accurately document call information and resolution in our internal systems.
  • Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported.
  • Properly identify issues that need to be escalated appropriately to the leadership team.
Additional Responsibilities:
  • Provide recommendations on system enhancements and process improvements to management.
  • Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues.
  • Participate in departmental projects when applicable.
What qualifications do YOU need to have to be GOOD candidate?
  • Required Level of Education, Licenses, and/or Certificates
    • High school diploma or equivalent.
  • Required Level of Experience
    • 1 -3 years of job related customer service experience within industries such as healthcare, call center, banking or retail.
  • Required Knowledge, Skills, and Abilities
    • Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook.
    • Ability to work occasional overtime as needed.
    • Excellent listening and communication skills.
    • Superior customer service skills including the natural ability to provide empathy.
    • Strong data entry/typing skills.
    • Strong navigation skills and the ability to multi-task.
    • Excellent attention to detail.
    • Critical thinking skills to quickly analyze and clearly understand a specific request or customer need and then leverage knowledge and resources to provide the appropriate solutions.
What qualifications do YOU need to be a GREAT candidate?
  • Preferred Level of Experience
    • 1+ years of job related customer service experience within the dental, vision or medical industry.
    • Previous experience working in a virtual environment.
    • Understanding of dental, vision and/or medical insurance terminology.
The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
Compensation Range:
$32,461.00 - $48,691.00
Compensation Midpoint:
$40,576.00

Tailor Your Resume for this Job


Share with Friends!

Similar Jobs


Multiplier Multiplier

Business Development Representative Apac

About us: The global hiring revolution is shaping a future where talent can thrive everywhere, driv…

Full Time | Singapore, Singapore

Apply 1 day, 2 hours ago

MSD MSD

Maintenance Engineer (Wda)

Job Description Based in Singapore, the regional hub for Asia Pacific (AP) and top-ranked biopharma…

Full Time | Singapore, Singapore

Apply 1 day, 2 hours ago

Schneider Electric Schneider Electric

Sales Representative - Auckland

Job Description: Location: Auckland Company: Schneider Electric Position: Sales Representative - 1…

Full Time | Auckland city, New Zealand

Apply 1 day, 2 hours ago

Ajax Systems Ajax Systems

Business Development Manager - Belgium And Luxembourg

Ajax Systems is an international technology company and Europe’s largest developer and manufa…

Full Time | Télétravail, Luxembourg

Apply 2 days, 2 hours ago

EVERSANA EVERSANA

Program Specialist Ii

Company Description At EVERSANA, we are proud to be certified as a Great Place to Work across the g…

Full Time | Mason, United States of America

Apply 3 days, 5 hours ago

Club Pilates Waxhaw Club Pilates Waxhaw

Sales Associate - Front Desk

Become a Part of the Pilates Revolution at Club Pilates!Club Pilates, a pioneering brand in the fit…

Part Time | Montgomery, United States of America

Apply 3 days, 5 hours ago

Finish Line Finish Line

Supervisor - Sono Collection

At JD Finish Line, we’re not just selling products; we’re creating experiences. Our ret…

Full Time | Norwalk, United States of America

Apply 3 days, 5 hours ago

Flagright Flagright

Sales Development Representative (Fresh Graduate) - Singapore

About Flagright: Flagright is a rapidly growing compliance software startup with a mission to arm f…

Full Time | Singapore, Singapore

Apply 4 days, 2 hours ago