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Job Title: Customer Service Representative (Healthcare/Medicare Advantage) 100% Remote

Location: Washington State

Pay Rate: $21.56-24/HR on W2 Only – NO C2C

Setting: REMOTE

Duration: 8+ months with potential contract to hire

Job ID: 236261

Responsibilities:

• Remote, but candidate MUST reside in Washington state for this position.
• May communicate with a variety of parties such as subscribers, providers, healthcare providers, agents/brokers, attorneys, group administrators, other member representatives, internal staff and the public with inquiries regarding benefits, claim payments and denials, eligibility, decisions, and other information through a variety of media – oral, written and on-line communications. Respond to multiple inquiries on all designated lines of business.

Required Qualifications:

• We are seeking highly skilled professionals who can provide Professional service to Medicare Advantage members while multitasking using web-based tools in a Windows environment.
• Successful candidates will have strong sensitivity, empathy, active listening skills and outstanding phone etiquette.
• Previous Salesforce and/or Radar experience is preferred, but not required.
• Government Programs related jobs, demonstrated thorough knowledge of State and Federal regulations.
• Keyboarding skills of 30 wpm with 95% accuracy.
• Proficient PC skills and prior experience in a PC environment.
• Demonstrated knowledge of medical terminology and coding strongly preferred
• Ability to apply mathematical concepts and calculations.
• Ability to communicate effectively orally and in writing with understanding and ability to apply correct punctuation, spelling, grammar and proof-reading skills
• Demonstrated ability of strong customer-service skills, including courteous telephone etiquette
• Ability to exercise discretion on sensitive and confidential matters
• Demonstrate initiative in researching and resolving benefit, and eligibility issues.
  

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