[Hiring] Healthcare Call Center Representative @Conduent

Role Description

We are seeking individuals who are passionate about helping others, possessing natural empathy, and providing thorough solutions for healthcare-related inquiries. If you find fulfillment in making a positive impact on people's lives, solving complex issues, and offering effective solutions, this role is for you. While call center experience is a plus, it is not a requirement.

In this position, you will be answering calls regarding healthcare benefits. The calls are related to assisting members with:

• Medicare enrollments
• Billing
• Claims
• Benefits & other services

You must be flexible: the hours of operation are between the hours of 7:45am-11:00pm EST MON-SAT & SUN 7:45AM-8:00PM EST.

The Pay Rate is $16.00 per hour, which may be below your state’s minimum wage. Please take this into consideration when applying.

Training: 9:00am – 5:30pm EST - Training is 8 Weeks and 3 days classroom and 2 weeks Nesting & you cannot miss a day.

Paid time off is accrued after 180 days of employment.

Medical, Dental, and Vision benefits are available on the 1st day of employment.

Successfully learn 15-20 systems and average 30-40 calls per day.

About the Healthcare Call Center Representative:

• Manage a steady volume of incoming calls regarding Benefits, Enrollment, Eligibility, Invoicing, Claims, and related topics.
• Fully explain the Medicare Part D, Part C Medicare Advantage Programs and Dual Special Need Program (DSNP).
• Actively listen to understand customers’ needs and answer their questions to include callbacks and follow up calls as needed.
• Strive to answer the un-asked question(s) as we work for a one call resolution.
• Take all necessary action to resolve the members' issues by answering their questions.
• Navigate the Members’ plan benefits, review Client's policy and procedures, while using resources provided by the Client to comply with regulatory guidelines.
• CSR is required to utilize multiple Client systems to provide accurate information.
• Effectively multi-tasking.
• Demonstrate proficiency in problem-solving skills.
• Politeness and a strong focus on servicing the caller are important requirements.

A few questions you can expect:

• Can you tell me if eyeglasses will be covered under this policy?
• I lost my ID Card; can you help me get another one?

Qualifications

• Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
• You must have a minimum of 6 months customer service experience.
• High school diploma, GED, or college degree.
• Complete a mandatory paid training program with 100% attendance.
• Successful completion of a background check is required for this position.

Requirements

• This role is subject to continued monitoring to ensure a distraction-free workspace and to verify that no unauthorized devices, individuals, or animals are present.
• We provide all the equipment (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables).
• You must have a home internet connection with 25 Download and 10 Upload Speed.
• Must be able to hardwire your work computer directly to your home modem via ethernet.
• Must have a quiet, distraction-free workspace.

Benefits

• Paid time off accrued after 180 days of employment.
• Medical, Dental, and Vision benefits available on the 1st day of employment.
• Estimated hourly rate for this role is $16.00/hour.