Healthfirst is hiring work at home in some states!
Healthfirst is a non-profit huge insurance company in the United States! Healthfirst is offering to pay up to $15/hr for this work from home role!
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The Operations Call Center Service Agent is responsible for assisting members & providers with issues and inquiries about our members and their insurance, applications and/or claims in one or more families of products, i.e. Medicare, Medicaid. The Service Agent is also responsible for receiving and addressing member & provider inquiries, resolution of complaints, client education, retention of membership and dis-enrollments, and escalation of issues requiring additional intervention.
We are now taking applications for our upcoming October Call Center Service Agent Class!
**This position is eligible for remote work, conditionally based on meeting performance metrics**
Office Location: 1101 Greenwood Blvd. Lake Mary, FL 32746 *Remote eligible contingent on performance*
Paid Training: 4-6 weeks of virtual classroom based training, between the hours of 8am to 8pm, depending on the required shift, Monday through Friday.
Work Schedule: Must be available to work any shift between 8am to 8pm including weekends and holidays as needed. This may periodically change to meet business needs.
Salary: Minimum $14.42 per hour depending on professional work experience, PLUS quarterly incentives based on performance.
Benefits: Outstanding benefits package including: Medical, Dental, Vision, Basic Life & Accident Insurance, Flexible Reimbursement Accounts, Employee Assistance Plan, Healthfirst 401(k) plan plus much more!
If you are interested in this position, please complete the following steps to CONFIRM your appointment.
- Create a candidate profile AND apply for this position below.
- Complete the mandatory TalentCentral Contact Center Online Assessment by using the following link (desktop or laptop compatible only, no mobile devices please): https://talentcentral.us.shl.com/player/link/1efa496890004f7cac3fcf56a2a95750
- If your assessment results show a potential match, a member of our Talent Acquisition team will call you to complete a phone screen.
- Upon successful completion of the above steps, you will receive an email invitation to attend our career event for an in-person interview.
Duties and Responsibilities Include:
- Interacting by phone with providers and members to provide information in response to inquiries, concerns, and questions about insurance coverage and products Healthfirst offers.
- Transferring calls from members and providers to the appropriate department.
- Following-up on inquiries and complaints that have not been resolved.
- Interacts with customers to provide information in response to inquiries about products and services.
- Perform research on billing inquires and claims to provide payments and refunds.
- Acts as a liaison between various departments to address concerns.
- Identify, research, and resolve customer issues using the computer system.
- Follow-up on customer inquiries not immediately resolved.
- Research member/provider billing and claims issues.
- Research payment and refund issues.
- Handle and resolve customer’s complaints.
- Ability to navigate through automated information systems to analyze the caller’s situation.
- Ability to perform in a fast paced, changing environment
- Speaks in a way the customer can understand.
- Serves as liaison between the customer and various departments.
- Other duties as assigned by the management team related to job functions (sort incoming faxes, correspondence, fax transportation forms, etc.)
- May be required to work some overtime as the business requires.
- May be required to work flexible schedules (nights, weekends), or change schedules as it is determined necessary based on the needs of the business, which are subject to change.
- Demonstrates the ability to perform in a highly metric driven environment, maintaining minimum quality scores or better.
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Minimum Qualifications:
- Mandatory minimum education requirement of a High School Diploma or GED equivalent from an accredited institution.
- Work experience in a face to face or call center environment.
- Experience multitasking between programs and completing required data entry of client demographics or client look up systems while talking to Healthfirst customers.
- Work experience using a corporate email system.
- Experience navigating through system applications on a desktop computer.
- Adapt to a fast pace and ever changing environment.
- Flexibility to work evening and weekends due to business needs.
Preferred Qualifications:
- Healthcare industry work experience.
- Call Center experience in a metrics driven environment.
- Previous healthcare work experience interacting with members and/or providers.
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CLICK HERE TO APPLY
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