Healthcare Contact Center Representative – Inbound and Outbound

Job not on LinkedIn

🔥 8 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Call Center Representative

🚫👨‍🎓 No degree required

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

Guide Healthcare

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2018

⚕️ Healthcare Insurance

🏥 Healthcare

🎯 Recruiter

Healthcare Insurance • Healthcare • Recruitment

Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.

📋 Description

• Provide friendly, accurate, and timely service to members/patients, providers, and other stakeholders through inbound and outbound phone, email, chat, SMS, video calls, co-browser sessions, and other channels • Listen to Customers' needs and concerns, demonstrate empathy and patience, build rapport, and establish trust • Help Customers navigate healthcare benefits, care management programs, internal processes, and available resources • Protect Customer privacy, dignity, and PHI while complying with HIPAA and applicable laws and regulations • Answer and resolve inquiries about benefits, claims, eligibility, provider networks, prior authorizations, preventive health, and other healthcare topics • Research complex issues, collaborate with Claims, Provider Relations, Utilization Management, Intake, Care Management, Quality, and other departments, and escalate recurring issues or trends • Document interactions and resolutions accurately in appropriate systems • Educate Customers about plan benefits, policies, procedures, self-service portals, and healthcare information • Conduct outbound enrollment, clinical quality, wellness, medication refill, blood pressure, preventive care, and gap-in-care outreach • Handle inbound calls from prospective enrollees and guide them through care management program enrollment • Explain program value, features, and benefits; address hesitation and objections with empathy • Follow approved scripts, talking points, call flows, dialing workflows, dispositions, and outreach regulations • Escalate clinical, behavioral health, and urgent member concerns appropriately • Meet Customer satisfaction, first-contact resolution, quality, efficiency, attendance, and schedule-adherence goals • Participate in training, coaching, professional development, and continuous-improvement initiatives • Support other departments and perform additional duties as assigned

🎯 Requirements

• High school diploma or equivalent required • Minimum of 2 years of experience in customer service in a health plan, HMO, TPA, or healthcare setting; or program enrollment, telemarketing, cold calling, appointment setting, inside sales, or other outbound calling roles • Minimum of 1 year of experience in a healthcare contact center or outbound calling environment • Exceptional customer service skills and passion for helping others • Strong empathy, patience, rapport-building, active listening, persuasion, and objection-handling skills • Excellent verbal and written English communication, grammar, and pronunciation • Comfort with structured outbound calling, scripted call flows, and dialer-based workflows • Strong problem-solving and critical-thinking abilities • Ability to navigate complex systems and processes • Proficiency with computer systems, CRM software, and Microsoft Office Suite • Knowledge of medical terminology, healthcare benefits, and insurance processes • Ability to work independently and as part of a team • Ability to handle stressful situations professionally and calmly • Ability to learn and retain information quickly • Bilingual skills are a plus; associate's, bachelor's, or master's degree preferred • Ability to provide an internet connection with at least 100 Mbps download and 10 Mbps upload

🏖️ Benefits

• Work from Home with fully remote flexibility • Comprehensive Medical, Dental, and Vision plans • 401(k) plan with a 3% employer match to the employee's 6% contribution • Life and Disability insurance • Voluntary Life options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Necessary work equipment provided at no charge to the employee