Customer Service Representative

Job Summary

Serving as a primary point of contact for members and providers, the full-time Customer Service Representative will manage inbound service calls and outbound outreach, including enrollment invitations and wellness check-ins, while delivering exceptional and empathetic customer experiences in a remote environment.

Key responsibilities

• Provide friendly and timely service to customers through various communication channels, including phone, email, and chat
• Educate customers on healthcare benefits and assist them in navigating internal processes and resources
• Conduct outbound outreach for program enrollment and clinical quality initiatives, ensuring compliance with regulations

Required qualifications

• High school diploma or equivalent required
• Minimum of 2 years of customer service experience in a healthcare setting or related outbound calling roles
• Exceptional customer service skills with a genuine passion for helping others
• Strong problem-solving abilities and proficiency with CRM software and Microsoft Office Suite
• Knowledge of medical terminology, healthcare benefits, and insurance processes