Health Care Customer Service Advocate
About the Company: We are seeking a dedicated Healthcare Customer Service Representative to join our team. This role involves assisting members with inquiries related to their insurance plans, eligibility, benefits, and claims. The ideal candidate will have a strong understanding of various insurance plan types and excellent communication skills.
About the Role: Healthcare Basics
? Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
? Familiarity with common insurance terminology and procedures.
Key Responsibilities: ? Phone Skills ? Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent. ? Make outbound calls to members, vendors, and other departments. ? Follow established call flow processes for member interactions. ? Understand and apply protocols for using the language line for effective communication. ? * Eligibility and Enrollment ? Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT. ? Confirm member eligibility and plan effective dates. ? Manage member correspondence, including sending plan documents and updating demographics.
Similar Remote Jobs
Health Care Customer Service Advocate
Posted on: 30-11-2024 09:47
Receptionist at Honda of Ocala
Posted on: 30-11-2024 09:47
Crew Member - South Pine
Posted on: 30-11-2024 09:47
Licensed Insurance Representative - Onsite
Posted on: 30-11-2024 09:47
Postal Mail Processor-No experience required
Posted on: 30-11-2024 09:47
Service Delivery Tier 2 Analyst
Posted on: 30-11-2024 09:47
Fully Remote Work Mailroom Clerk
Posted on: 30-11-2024 09:47
Senior Business Risk Control Specialist
Posted on: 30-11-2024 09:47
Group Accounting Specialist- Remote Opportunity
Posted on: 30-11-2024 09:47
Quality Assurance Associate - MT/Editor
Posted on: 30-11-2024 09:47
Online Order Filling Team Associate
Posted on: 20-01-2025 00:00
Solutions Management Manager
Posted on: 05-09-2024 00:00
Remote Call Center Specialist: Save-A-Trip
Posted on: 16-07-2024 19:08
(Online Remote Jobs)Walmart Data Entry Work From Home Jobs - No Experience
Posted on: 03-08-2024 00:00
[part Time Remote Jobs] Southwest Airlines Careers Remote $30 Hour
Posted on: 27-02-2025 00:00
FT Customer Service Specialist - Inbound (Work From Home)
Posted on: 31-10-2024 05:15
Part-time Nights/Weekends, Remote/Hybrid, Customer Service Representative
Posted on: 27-02-2025 00:00
Administrative Assistant to Managing Director - South Florida, Latin America, and Caribbean
Posted on: 06-11-2024 04:55
Join Our Team as a Legit Chat Operator ? Flexible Work Hours and Competitive Pay
Posted on: 23-02-2025 00:00
Online Remote Google Job
Posted on: 08-11-2024 05:09