Call Center Representative, Tier 1 – Temporary Assignment

Job not on LinkedIn

🔥 1 hour ago

🦌 Connecticut – Remote

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💵 $20 / hour

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Community Health Network of Connecticut, Inc.

Community Health Network of Connecticut, Inc.

501 - 1000 employees

Founded 1995

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Community Health Network of Connecticut, Inc. is a not-for-profit health plan based in Connecticut that provides population health management and care coordination services. It uses integrated data analytics, member and provider engagement, and evidence-based interventions to manage chronic disease, utilization, transitions of care, and social determinants of health. CHNCT focuses on improving member outcomes, reducing healthcare costs, and strengthening community partnerships through person-centered services and outreach.

📋 Description

• Answer member and provider questions by telephone, written, or electronic media • Document inquiries, grievances, caller concerns, actions taken, and call disposition • Provide accurate and timely benefit and network information • Verify member eligibility and provider participation • Resolve routine member and provider concerns • Escalate complex cases and issues to senior representatives or management • Make assigned outbound calls and callbacks • Assess referrals to ICM, other programs, and community resources • Research and document inquiries and grievances promptly • Maintain knowledge of program requirements and benefits • Use resource materials to ensure accurate information • Meet or exceed an average speed of answer of 90% of calls within 60 seconds • Maintain an abandonment rate below 5% and hold times below 3 minutes • Adhere to department standards, privacy/security requirements, and CHNCT policies • Perform other required tasks

🎯 Requirements

• High school diploma or secondary education • High school diploma or GED • One year in a customer service role in a health care setting • Call center experience or face-to-face customer service experience • Adequate space and privacy for a work-at-home setup • HIPAA-compliant home workspace • Employee-supplied high-speed internet connection • Computer proficiency • Ability to adhere to privacy, security, attendance, productivity, and company policy standards • Ability to verify caller identity and authorization to share PHI • Ability to use language line services when needed

🏖️ Benefits

• Telecommuting/work-at-home arrangement • Company-supplied computer workstation and telephone technology • Employee-supplied high-speed internet connection supported for the role • Inclusive and accessible interview process • Reasonable interview accommodations available upon request

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