Commercial Health Call Center Representative

🕒 Maio 21

🤠 Texas – Remoto

🤠 Texas – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

📞 Representante de Call Center

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Evry Health

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

🤝 B2B

🧘 Bem-estar

Healthcare Insurance • B2B • Wellness

A Evry Health é uma companhia de seguros de saúde moderna, com foco em soluções móveis, que oferece planos de saúde empresariais totalmente assegurados e equipes de cuidados personalizadas. Destinada a empresas de médio a grande porte (principalmente no Texas), a Evry oferece planos sem co-pagamento e sem franquia, atendimento virtual 24/7, programas de bem-estar integrados e suporte individualizado de enfermeiros, nutricionistas e médicos para simplificar custos e melhorar a saúde dos funcionários. A empresa enfatiza uma abordagem humana, focada nos membros, e ferramentas digitais (aplicativo iOS/Android) para oferecer cuidados e benefícios.

Descrição

• Provide accurate and thorough information on commercial health plan benefits, eligibility, and claims. • Handle inbound and outbound calls as well as respond to email inquiries from customers. • Develop processes, call scripts, metrics, and desktop procedures. • Deliver an exceptional customer service experience to Evry members and providers. • Partner with senior leadership daily. • Work effectively in a virtual work environment.

🎯 Requisitos

• Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy) • Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance. • Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes. • Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience. • Comfort working in a fast-paced, deadline-oriented work environment. • Strong attention to detail and problem-solving skills with a high level of accuracy. • Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc. • Prior experience using a CRM, preferably SalesForce. • Bonus: fluency in Spanish.

🏖️ Benefícios

• Competitive salary • Comprehensive health, dental, and vision insurance as well as life and disability • Retirement savings plan with company match • Generous time off/vacation • Professional development opportunities • Flexible and remote work environment