Customer service representative

Role Summary Join our team as a Customer Service Representative and play a vital role in supporting our members, patients, and healthcare providers. You will handle complex inquiries regarding health benefits, billing, and eligibility, ensuring an exceptional, accurate, and compliant customer experience. Responsibilities Assist Members: Professionally answer inbound calls to resolve complex inquiries related to core benefits, Medicare, facility information, and premium billing. Solve Problems: Collaborate with medical groups and internal teams to investigate customer concerns, evaluate data, and implement swift solutions. Maintain Compliance: Ensure strict privacy and confidentiality of protected health information while accurately documenting all interactions Deliver Quality: Consistently meet performance guidelines for first-call resolution, call handling, and overall customer satisfaction. Required Education: High School Diploma or equivalent. Skills: Minimum typing speed of 30 WPM alongside analytical and critical-thinking abilities. Communication: Excellent written and verbal communication skills with a professional, clear, and empathetic tone. Experience: Prior experience in a high-volume call center or the healthcare/health insurance industry is highly preferred.

salary: $27.49 - $27.5 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Represent the health plan by professionally answering and documenting all incoming contacts, determining their nature, and responding to complex calls related to specialized product lines or queues.
Respond effectively to inquiries from both internal and external customers.
Initiate contact with appropriate health plan, medical group, and facility personnel to obtain necessary information to resolve concerns or inquiries.
Evaluate data to determine and implement the appropriate course of action to resolve complaints and coordinate service recovery.
Assist the department in meeting customer needs and achieving overall department expectations.

Skills

• answering and documenting
• complex calls
• product lines or queues

Qualifications

• Years of experience: 0 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.


Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on click.appcast.io.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.