Customer Service/Healthcare - Remote

Remote, USA Full-time Posted 2025-03-12

Job Title: Customer Service/Call Center - Healthcare (Remote)

Contract Duration: 6 Months...

Pay Rate: $19/50/hr

Location: Remote - Must reside in Florida

Work Hours: 8-5 EST

Qualifications/Skills Needed
? Call Center experience is a must. Customer service experience needed
? 2-3 years managed care or physician's office experience
? Medical terminology
? Typing skills
? LTC/Medical Authorization experience
? Outlook, Word and Microsoft Windows
? High School Diploma or equivalent

Day To Day Responsibilities Of Role
? Assist to resolve missed visits or missed supplies - reaching out to Provider for status/update authorizations, as needed
? Assist with all LTC (Member/Provider) calls. We focus on one call resolution and answering calls in a timely manner
? Review authorizations and assist with correcting authorizations, as needed, to match the PCCP
? Triage/Route calls correctly. Unless member/provider insists that they only want to speak to CC, team will try to resolve issues brought up by the caller before the call is routed to CC or Sup.

Performance Expectations
? Call Center metrics (Talk time, Hold, Aftercall), Schedule Adherence and Call Quality scores 95% or above

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