Healthcare Customer Service Representative

🔥 12 hours ago

🐻 Alaska, California, +10 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🦌 Connecticut – Remote 🌺 Hawaii – Remote 🌽 Illinois – Remote 🦬 Montana – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote ☕ Washington – Remote

💵 $16 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

🛍️ eCommerce

🏛️ Government

💰 Venture Round on 2009-01

B2B • eCommerce • Government

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans. • Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups. • Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system. • Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution. • Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed. • Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals. • Achieve all assigned individual monthly performance metrics. • Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates. • Perform additional duties and responsibilities as assigned by management.

🎯 Requirements

• Successfully complete customer service assessment & typing test. • High school diploma, GED, or college degree. • At least 1 year of Call Center experience preferred. • 1 year of face-to-face customer service experience. • Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred. • Must possess self-motivation, resourcefulness, detail-orientation, accountability, and teamwork characteristics. • Must possess strong organizational, time management, written and verbal communication, analytical, and problem solving skills. • Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer. • Effective communication skills over the phone. • Ability to deal with problems involving several concrete variables in standardized situations. • Successful completion of background check is required for this position.

🏖️ Benefits

• Medical, dental and vision benefits are available on the 1st day of employment. • Paid time off is accrued after 180 days (about 6 months) of employment.