Healthcare Customer Service Representative

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $47k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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The Phia Group, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2000

💼 Consulting

🏥 Healthcare

🛡️ Insurance

💰 Private Equity Round on 2018-09

Consulting • Healthcare • Insurance

The Phia Group, LLC is a dedicated provider of healthcare cost containment solutions, focusing on empowering self-funded health plans to maximize benefits and minimize costs. Through a comprehensive suite of services, including subrogation and recovery, claims negotiation, and cost transparency initiatives, The Phia Group aims to help employers and families navigate the complexities of healthcare with advocacy and expertise. Their commitment to improving healthcare accessibility and affordability sets them apart in the industry.

📋 Description

• Manage high-volume customer inquiries through phone calls, voicemails, faxes, scanned correspondence, and emails • Identify and assess customer needs to achieve maximum client satisfaction • Assist callers in real time with data collection or education • Transfer or redirect calls to appropriate Recovery Specialists • Use internal systems and resources to provide accurate, complete information • Maintain phone coverage through regular attendance and situational awareness • Review, promote, and activate client- and Phia-generated referrals from call center activity • Collect and document attorney and/or adjuster information in the appropriate system tabs • Handle calls, case activations, data entry, and data management within company guidelines • Respond to department requests submitted through the online questionnaire portal • Maintain and research automatic updates from a national database identifying third-party claims • Review scanned documentation for systematic updates, including Phia Accident Questionnaires • Generate client-specific reports weekly as needed • Protect company assets from unauthorized access, disclosure, or modification • Comply with organizational information security policies • Work an 11:30 a.m.–8:00 p.m. EST shift; work an earlier shift during the first four weeks of training

🎯 Requirements

• 2+ years of experience in a law firm, insurance company, third-party administrator (TPA), or medical field • Call center experience • Located in MST or PST preferred • High school diploma or equivalent preferred • Bilingual preferred, but not required • Remote work or education experience • Private workspace with a closed-off door for privacy • Sufficient internet speed to support video, IP phone, and multi-system usage • No distractions in the home requiring assistance during working hours • Strong verbal and written communication skills • Knowledge of good telephone etiquette, soft skills, and emotional intelligence • Effective listening skills • Mastery of time management and organization, with ability to pivot from task to task • Excellent attention to detail and documentation • Outstanding organizational, interpersonal, and administrative skills • Ability to work as part of a team and independently • Self-motivated and able to meet deadlines under pressure • Ability to sit at a workstation for prolonged periods • Extensive computer work

🏖️ Benefits

• Fully remote role • Exceptional benefits for employees • Equal opportunity and inclusive workplace • Reasonable accommodation for qualified individuals with disabilities