Healthcare Customer Service Representative

🔥 1 hour 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

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Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🤝 B2B

☁️ SaaS

🏢 Enterprise

🔥 Funding within the last year

💰 $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 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 strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving. • Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.

🏖️ 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.