Confidential

Compensation

Full Description

Customer Service Representative, Remote (Bilingual preferred) Location: Remote Compensation: $16.00 - $23.00 per hour. Compensation will vary based on location and experience, and or skill level. Schedule: 40 Hour work week 5-day work week 8-hour days Availability requirements: All team members must be available to work any 8 hour shift, any 5 days of the week during the department’s hours of operation: Monday – Sunday (Including holidays) 5:00 AM – 8:00 PM PST Job Overview: The Customer Experience Representative provides exceptional support and service to meet the needs of the organization's members and providers. This role involves resolving inquiries, addressing needs efficiently, and embodying the organization’s values in every interaction. The Representative will provide service and product information and identify opportunities to enhance the experiences of members and providers alike. Key Responsibilities: • Deliver outstanding service across multiple communication channels (phone, chat, email, and non-phone tasks) to support members and providers, including Medicaid, Medicare, and Marketplace business across various states and products. • Conduct health assessments and satisfaction surveys related to member/provider experiences. • Ensure accurate documentation of all relevant details regarding member or provider inquiries. • Maintain consistent attendance and work scheduled shifts, including breaks and lunches, with the potential for overtime and weekend work as needed. • Build rapport quickly and empathetically respond to customer inquiries by identifying and surpassing their expectations. • Listen attentively, capture essential information, and recognize the needs or concerns of members or providers. • Achieve or exceed personal performance targets for call quality, attendance, adherence, and other contact center goals. • Actively collaborate and engage with internal and external teams as necessary. • Take ownership of resolving issues in real-time or through timely follow-ups with members and/or providers. • Assist providers with basic inquiries regarding member eligibility, covered benefits, the Provider Portal, and the status of claims. • Communicate professionally and effectively in various settings. Required Qualifications: Education: • High School Diploma or equivalent combination of education and experience Knowledge, Experience, Skills and abilities: • 1-3 years of experience in sales or customer service in a high-volume, fast-paced environment Preferred Qualifications: Education: • Associate’s degree or equivalent combination of education and experience Preferred Experience: • 1-3 years of relevant experience • Preferred Systems Experience: • Microsoft Office, Salesforce, CRM Systems, Microsoft Teams, Availity, Video Conferencing Job Type: Full-time Benefits: • 401(k) • Dental insurance • Health insurance • On-the-job training • Paid time off • Vision insurance • Work from home Work Location: Remote Job Type: Full-time Pay: $16.00 - $23.00 per hour Benefits: • 401(k) • Dental insurance • Health insurance • Vision insurance • Work from home Work Location: Remote