Healthcare Customer Service Representative

🔥 13 hours ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

💵 $16 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.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

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

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

Upload Resume

Conduent

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

📦 Logistics

💼 Consulting

💰 Venture Round on 2009-01

Healthcare • Logistics • Consulting

Conduent is a leading provider of technology-led solutions aimed at enhancing customer experiences and improving operational efficiency for businesses and government agencies. The company offers a wide range of services, including customer experience management, finance and accounting solutions, human capital management, integrated digital solutions, and specialized services for healthcare and public sector clients. By leveraging automation and analytics, Conduent helps organizations streamline processes and drive business success.

📋 Description

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for Commercial and Medicare plans • Provide interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups • Investigate member and provider concerns, contact appropriate parties, resolve issues, and accurately document 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 • Successfully navigate 6 systems and average 32 calls per day • 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 • Knowledge of and prior experience in the Dental, Medical or Managed Care industry preferred • Successfully complete customer service assessment and typing test • 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 • Ability to maintain a distraction-free and secure work environment • Home internet connection with at least 10 Mbps download and 3 Mbps upload speed • Ability to hardwire work computer directly to home modem via Ethernet; satellite and wireless internet are not acceptable • 100% attendance during the 5-week classroom and 2-week nesting training • Available for operating hours Monday–Sunday, 7:30am–11:00pm EST

🏖️ Benefits

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