What are the responsibilities and job description for the Remote Healthcare Customer Service Representative | Work from Home position at Get It - Healthcare?
Job Overview
Are you driven by a desire to assist others and make a meaningful impact in the healthcare sector? We invite you to consider the opportunity to become a Healthcare Customer Service Representative II on our dynamic team. In this pivotal remote role, you will deliver outstanding service to our members, aiding them with policy management, benefits inquiries, and claims support—all from your home office.
This full-time position offers the flexibility of a 100% remote work environment, with a Monday to Friday schedule (9:00 AM - 9:00 PM EST, with a shifting schedule).
Key Responsibilities
We are committed to supporting your professional development and providing ongoing training to facilitate your success in this role. There are ample opportunities for advancement within the company, allowing you to enhance your career within the healthcare industry.
Compensation And Benefits
We offer a comprehensive benefits package that includes medical, dental, vision, life insurance, HSA, and 401(k) options, along with paid time off (PTO) to encourage a healthy work-life balance. Additionally, you will receive paid training to ensure you are well-prepared for your responsibilities.
Employment Type: Full-Time
Are you driven by a desire to assist others and make a meaningful impact in the healthcare sector? We invite you to consider the opportunity to become a Healthcare Customer Service Representative II on our dynamic team. In this pivotal remote role, you will deliver outstanding service to our members, aiding them with policy management, benefits inquiries, and claims support—all from your home office.
This full-time position offers the flexibility of a 100% remote work environment, with a Monday to Friday schedule (9:00 AM - 9:00 PM EST, with a shifting schedule).
Key Responsibilities
- Policy Management:
- Billing Support: Manage member payments, respond to billing inquiries, and resolve discrepancies.
- Account Updates: Accurately modify member information, such as addresses, contact details, beneficiaries, and employment status.
- Policy Changes: Assist members with policy terminations, reinstatements, and ID card requests.
- Benefits Assistance:
- Coverage Information: Deliver comprehensive and accurate details regarding eligibility, benefits, limitations, and exclusions.
- Authorizations & Referrals: Guide members through the prior authorization and referral processes.
- Provider Research: Support members in locating healthcare provider contact information.
- Claims Support:
- Status Updates: Communicate to members about the status of their claims and address any concerns.
- Claims Inquiries: Clarify claim processing steps, denial reasons, and appeal procedures.
- Claims Reconsideration: Aid members in submitting reconsideration requests and gathering necessary documentation.
- General Member Support:
- Website Assistance: Assist members in troubleshooting and navigating our online portal.
- Answer General Inquiries: Respond to questions regarding health plans, policies, and procedures.
- Escalations & Confidentiality: Elevate complex issues as needed while ensuring confidentiality is upheld.
- Exceptional communication abilities (both written and verbal)
- Proven customer service experience, ideally in healthcare or insurance
- Strong attention to detail with the ability to manage multiple tasks
- Proficient in technology, including data entry and online navigation
- Understanding of healthcare terminology (such as ICD-9, ICD-10 coding, and policy process flows)
- Capability to work independently and collaboratively within a team
- Robust problem-solving and time-management skills
- High School Diploma or GED (mandatory)
- Minimum of 2 years experience in healthcare customer service, claims processing, medical office administration, or a related discipline
- Eligible to pass a background check
We are committed to supporting your professional development and providing ongoing training to facilitate your success in this role. There are ample opportunities for advancement within the company, allowing you to enhance your career within the healthcare industry.
Compensation And Benefits
We offer a comprehensive benefits package that includes medical, dental, vision, life insurance, HSA, and 401(k) options, along with paid time off (PTO) to encourage a healthy work-life balance. Additionally, you will receive paid training to ensure you are well-prepared for your responsibilities.
Employment Type: Full-Time
