Healthcare Customer Service Representative

🔥 7 minutes ago

🇺🇸 United States – Remote

💵 $16 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

☁️ SaaS

🏢 Enterprise

💰 $93M Post-IPO Debt - Conduent on 2025-08

B2B • SaaS • Enterprise

Conduent is...

📋 Description

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for Commercial and Medicare plans • Interpret and clarify dental benefits, policies, and procedures for members, providers, and employer groups • Investigate and resolve member or provider concerns by contacting appropriate parties and accurately documenting interactions in 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, plan brochures, provider directories, and other printed materials • Meet or exceed ACD call-volume and quality-performance goals • Achieve assigned individual monthly performance metrics • Maintain current knowledge of Member Services policies, procedures, and dental plan updates • Perform additional duties assigned by management

🎯 Requirements

• High school diploma, GED, or college degree • 1 year of face-to-face customer service experience • At least 1 year of call center experience preferred • Customer service assessment and typing test • Knowledge and prior experience in the Dental, Medical, or Managed Care industry preferred • Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer • Effective communication skills over the phone • Strong organizational, time management, written and verbal communication, analytical, and problem-solving skills • Ability to deal with problems involving several concrete variables in standardized situations • Successful completion of background check required • Successfully complete mandatory paid training with 100% attendance • Home internet connection with 10 Mbps download and 3 Mbps upload speed • Ability to hardwire the work computer directly to the home modem via Ethernet; satellite and wireless internet are not acceptable • Distraction-free and secure home workspace • Ability to successfully navigate 6 systems and average 32 calls per day

🏖️ Benefits

• Medical, dental and vision benefits available on the 1st day of employment • Paid time off accrued after 180 days of employment • Paid training program • Employer-provided computer, monitor, mouse, keyboard, headset, Ethernet cord, and power cables • Potential bonus or incentive based on business need • Health insurance coverage • Voluntary dental and vision programs • Life and disability insurance • Retirement savings plan • Paid holidays • Paid time off or vacation and/or sick time • Growth opportunities within the healthcare team