Remote- Healthcare Customer Service

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

Job Title: Healthcare Customer Service

Contract Duration: 3 month with potential to extend or convert...

Pay Rate: $20.00/hr

Location: Remote - Must reside in US

Work Hours: 8:30 - 5:30 EST

Qualifications/Skills Needed
? 2-3 years managed care setting, medical office or facility setting with demonstration of medical administration duties
? Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment
? Operation of office equipment such as a personal computer
? Knowledge of medical terminology
? Time management & organizational skills are a MUST
? Knowledge of medical terminology
? Communication skills required
? Great excel skills
? High school diploma or equivalent
? Basic knowledge of Microsoft office

Day To Day Responsibilities Of Role
? Assist in activities related to the medical and psychological aspects of utilization and coordinated care
? Outreach attempts via telephone to members assigned each day
? Consistently updating an excel spreadsheet with member assignments listed
? Consistent communication with supervisor
? With each phone call- documentation is required in Virtual Health

Performance Expectations
? Must be able to make high volume of outbound calls
? Medical terminology
? Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) Please put on Resume.
? Completing 80-120 phone calls a day to the Medicare Population
? Compliance is required to be 100% of all assigned members
? Engagement Rate will need to be at 80% or more a month
? Time off is not permitted in the first 90 days of employment unless pre-planned during the interview
? Audit score of a minimum of 90%
? Completion of 600 members a month is required (30 new members daily assigned

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