CCO Service Agent, Bilingual

🕒 May 13

🐊 Florida, New Jersey – Remote

🐊 Florida – Remote 🏖️ New Jersey – Remote

💵 $40.2k - $54.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Finance • Medicare

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Provides excellent quality customer service to our members and/or providers relating to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. • Meets/Exceeds all performance KPIs including but not limited to quality, productivity, and dependability • Follows established policies and procedures to ensure member and provider issues are addressed timely and accurately • Identifies and de-escalate situations where member/provider is upset and provides resolution for their issue. • Initiates investigations as required, partnering with other assigned parties to participate in root cause analysis, takes proactive and/or corrective measures and/or recommends solutions and methods for process improvement and follow-up on outstanding customer inquiries and complaints within defined timeframe. • Complies with HIPAA requirements and maintains Protected Health Information (PHI) confidentiality of member, provider, medical and departmental information, and adheres to local, state, federal and Healthfirst specific compliance and regulatory guidelines. • Builds sustainable relationships of trust through open and interactive communication with internal and external customers. • Works a flexible schedule including a late shift, weekends, and/or holidays (with limited notice at times), and as needed during unforeseen business disruptions. • Additional duties as required.

🎯 Requirements

• High School Diploma or GED from an accredited institution • Prior experience in a customer service environment • Experience participating in cross-functional projects and departmental initiatives related to customer/client interaction and customer service • Working experience in a fast-paced environment • Proficient in Microsoft Office Suite applications including Excel, Word, and Outlook

🏖️ Benefits

• medical, dental and vision coverage • incentive and recognition programs • life insurance • 401k contributions