Health Care Call Center Representative III

Overview

Inbound health care call center role assisting callers with customer service, billing inquiries, and pharmaceutical and/or medical health transactions. A full training program is provided.

What you'll do

• Respond to inbound phone calls and process customer inquiries or requests into the appropriate system or database.
• Use sound judgment to resolve customer billing inquiries.
• Analyze account history and make the appropriate changes based on information gathered during the original inquiry and request made by the customer.
• Escalate calls as needed.
• Provide customers with routine health care information on effective dates of coverage, claims history, deductible and coinsurance amounts, and medical benefits.

What you'll need

• High School Diploma or equivalent, and up to 1 year of related experience minimum.
• Previous customer service experience in a call center environment.
• Intermediate computer proficiency, including keyboarding skills and the ability to navigate through multiple programs within a Windows based environment.
• Excellent interpersonal and professional communication skills.
• Demonstrated enthusiasm for providing quality service in a professional environment.
• Ability to thrive in a dynamic, team environment while remaining knowledgeable of our evolving industry.
• Ability to communicate complex information in tangible, simple terms.
• Proven ability to adapt your communication style based on the customer's level of understanding in order to meet their needs.
• Strong commitment to continuous learning and development.
• Strong research and problem solving skills.

Nice to have

• Strong preference for experience working with United States healthcare systems including Medicare, Medicaid, Affordable Care Act, Commercial, Small/Large Group and/or Pharmaceutical Benefits Management.

Details

• Location: Mumbai, India.
• Inbound contact center role.