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Government Programs Customer Service Representative
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Job Description
- Req#: JR101059
Employer Industry: Dental Benefits Administration
Why consider this job opportunity:
- Fully remote position with flexibility for work-life balance
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engaging training program with hybrid options
- Chance to make a positive impact on community health through dental benefits
What to Expect (Job Responsibilities):
- Promptly and professionally respond to member, client, and provider inquiries through various communication channels
- Clearly communicate eligibility, benefit, claim status, and payment information related to caller questions
- Identify reasons for calls and provide appropriate resolutions to inquiries and complaints
- Assist callers with grievance and claims appeals processes as necessary
- Document information accurately in the customer relationship management system
What is Required (Qualifications):
- Ability to work an assigned eight (8) hour schedule starting as early as 7:55 a.m. and ending as late as 11:00 p.m., Monday through Friday
- High school diploma or equivalent; associate's degree in business administration or a related field preferred
- Two years of customer service experience in a business environment, preferably in a call center assisting Medicare and/or Medicaid enrollees
- Demonstrated knowledge of personal computers and software applications through experience or coursework
- Successful completion of various customer service assessments with specified minimum scores
How to Stand Out (Preferred Qualifications):
- Experience in a call center environment
- Familiarity with Medicare and/or Medicaid processes
- Strong multitasking abilities in a fast-paced environment
- Proficiency in email composition and professional communication
#DentalBenefits #CustomerService #RemoteWork #CareerOpportunity #CommunityHealth
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