Customer Service Representative

Job not on LinkedIn

🔥 1 hour ago

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Catalyst Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1999

🏥 Healthcare

💼 Consulting

🤝 B2B

Healthcare • Consulting • B2B

Catalyst Solutions is a provider of cost‑effective, intelligent business solutions exclusively to health plans, with over 25 years of experience. It offers consulting for plan strategy, operations, and technology; AI enablement; and business process outsourcing (claims, contact center, enrollment, configuration, administrative & general) delivered on its Catalyze platform or integrated with client systems. Its specialties include enterprise architecture, IT consulting, managed services, payer core systems and configurations (Facets, QNXT, Tapestry, HealthRules), clinical and care management, medical management, and systems performance optimization for managed care organizations and health plan operations.

📋 Description

• Respond to a high volume of inbound calls from medical provider offices, members, group administrators, and other stakeholders • Communicate and coordinate effectively with Group Administration, Individual Administration, Electronic Eligibility, and Client Services • Listen attentively to caller questions and concerns, responding accurately and in a timely manner • Meet call audit standards and operational expectations, including availability, call quality, average call handle time, and other individual and departmental metrics • Document and maintain clear, accurate call records for internal staff • Escalate calls appropriately according to internal guidelines and procedures • Research claim-related issues to provide accurate and informed responses • Maintain compliance with Federal, State, and HIPAA regulations and guidelines

🎯 Requirements

• Background in Inbound or Outbound Customer Service or Financial Services for health plan or healthcare • Excellent oral and written communication skills • Proficient in MS Office products (Word, Excel, Outlook) • Strong listening and problem-solving skills with a patient, customer-focused approach • Ability to multitask in a fast-paced, metrics-driven environment • Experience with Member or Provider phone calls (nice to have) • Medicaid or Medicaid experience (nice to have) • Previous medical claims experience, either processing or CSR (nice to have) • Knowledge of HIPAA and CMS Guidelines (nice to have) • Call Center Experience, either inbound or outbound (nice to have)

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume