Concierge Customer Service Representative II

🕒 July 29

🇺🇸 United States – Remote

💵 $19 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 46%

What it means: the chance that no one is really hiring for this job.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

MedWatch, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1988

💼 Consulting

📦 Logistics

🛡️ Insurance

Consulting • Logistics • Insurance

MedWatch, LLC is a healthcare services company that provides utilization management, case management, disease management, member advocacy and concierge care coordination to payers, TPAs, and self‑insured employers. For over 35 years it has delivered clinically driven care management, precertification and claims solutions, direct contracting and ancillary services backed by URAC accreditations and proprietary in‑house technology to improve clinical outcomes and reduce plan and member costs.

📋 Description

• Respond to telephone and email inquiries from members and providers within defined service standards • Negotiate with providers to gain acceptance for plans without network agreements and/or out-of-network providers • Assist members with benefits and healthcare questions • Document all calls in the system-based call log • Handle incoming MedWatch precertification calls, including starting cases, completing call logs, forwarding calls, providing case status, and providing claims phone numbers • Make outgoing calls for demonstrations, case-completion information, and network-steerage redirection • Complete incoming electronic Web-certs • Verify and correct or complete patient and provider demographics • Assist callers in both Concierge and Intake departments • Work in a typical office/home-office environment using standard computer and phone equipment • Maintain confidentiality while servicing customers and clients

🎯 Requirements

• Minimum High School Diploma or G.E.D. • Associate degree or higher preferred but not required • Two Years Customer Service / Call Center experience in a health care related role • Medical Intake experience a plus • Strong customer relations and interpersonal skills • Ability to handle confidential and sensitive information • Proficient with Microsoft applications and strong computer navigation skills • Excellent data entry and typing skills • Knowledge of provider organizations and networks • Knowledge and understanding of CMS Medicare reimbursement rates • Ability to negotiate rate structures • Ability to handle difficult situations tactfully and diplomatically • Excellent verbal and written communication skills • Independent judgment in decision making and problem solving • Ability to multi-task and anticipate potential needs/problems • Ability to build relationships with internal and external customers • Knowledge of medical terminology • Strong attention to detail • Strong analytical and research skills • Bilingual a plus • Understanding of self-funded health benefits a plus • Health payor background, preferably in the self-funded industry, a plus • Claim processing skills a plus • Insurance verification or pre-certification experience a plus • Provider office/facility billing department or financial area experience • TPA experience a plus • Ability to work in the United States for any employer without sponsorship

🏖️ Benefits

• Paid time off • Medical insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Life insurance • AD&D insurance • 401(k) with match • Critical illness coverage • Legal plan • Identity theft coverage • Pet insurance • Discount programs • Competitive compensation • Dedicated, quiet home workspace for remote work

📊 Check your resume score for this job

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

Upload Resume