Virtual Part-Time Customer Care Rep Jobs:
Job Details
| Salary Range | $32,461.00 to $48,691.00 |
| Midpoint Salary | $40,576.00 |
| Locations | Remote USA |
| Job type | Part-time |
| Shift and schedule | Overtime, Monday to Friday |
| Job requisition id | R2306 |
Key Information for YOU to Understand:
- Flexible Part-Time Schedule: The workdays are from Monday to Friday, running from 10:00 am to 5:30 pm CST.
- Anticipate working approximately 28-32 hours per week during the specified core hours.
- Keep in mind that our operational hours span from 7:00 am to 8:00 pm CST, so your shift may vary based on business requirements.
- This position is entirely remote.
- Compensation begins at $17 per hour or higher, depending on your experience.
- There is an additional $2 per hour on Mondays and Tuesdays.
- Expect exceptional opportunities for professional growth and development.
What will YOU be responsible for while working with us?
In this role, our Customer Service Representatives are expected to demonstrate robust problem-solving abilities. Moreover, they should possess an inherent capacity for empathy, ensuring they consistently take the time to attentively listen and comprehend customer inquiries. This approach is essential to help identify workable solutions while ensuring customers enjoy a memorable and positive experience.
What can YOU expect?
Your journey with us offers opportunities for career advancement in an inclusive work environment. You will also receive compensation for training, access to health benefits, and the option to participate in a 401(k) retirement savings plan.
What will Your daily tasks involve?
- Assisting Dental, Medical, and Vision callers by providing information related to their eligibility, benefit coverage, authorizations, claims, and helping them find a local healthcare provider.
- Using your knowledge of claim adjustments and resubmission procedures to determine the most suitable resolution for provider requests.
- Collaborating with Provider Relations staff to address high-level claim issues, including reimbursement schedule problems or conflicting information, ensuring swift resolutions for providers.
- Supporting enrollment activities, including assigning primary care providers and updating third-party insurance information.
- Serving as a mediator between our organization and the client’s Member Services staff to resolve matters like eligibility concerns and handling appeals and grievances.
- Providing updates to providers regarding the status of their credentialing application.
- Identifying provider inquiries that can be resolved through the provider web portal and educating callers about the advantages of utilizing available technology.
- Ensuring all calls are answered in accordance with company and client guidelines.
- Accurately recording call details and solutions within our internal systems.
- Applying effective de-escalation techniques as needed to ensure customers feel heard, valued, and supported.
- Recognizing issues that require appropriate escalation to the leadership team.
Additional Duties:
- Offer suggestions to management regarding system enhancements and process refinements.
- Maintain the Provider Relations team informed about any inconsistencies in provider manuals, alterations in provider locations, or other provider-related concerns.
- Engage in departmental projects as and when needed.
Education, Licenses, and/or Certificates
- High school diploma or its equivalent.
Experience Level Required
- 1 to 3 years of relevant customer service experience in industries such as healthcare, call centers, banking, or retail.
Required Knowledge, Skills, and Abilities
- Basic familiarity with Microsoft Office applications, including but not limited to Word, Excel, and Outlook.
- Willingness to work occasional overtime as needed.
- Exceptional active listening and communication capabilities.
- Outstanding customer service skills, including a natural capacity for empathy.
- Proficiency in data entry and typing.
- Effective navigation skills and the ability to manage multiple tasks simultaneously.
- High degree of attention to detail.
- Strong critical thinking abilities to rapidly assess and comprehensively grasp specific requests or customer requirements, then use knowledge and resources to provide suitable solutions.
To be an excellent candidate, consider these qualifications:
Preferred Level of Experience
- 1+ years of relevant customer service experience in the dental, vision, or medical industry.
- Previous experience in a virtual work environment.
- Familiarity with dental, vision, and/or medical insurance terminology.
