Healthcare Call Center Representative

Job Summary

To support members through efficient and compassionate service, the Healthcare Call Center Representative will manage inbound calls regarding benefits and account needs, transitioning to a remote work environment after initial onsite training in the Greater Philadelphia area.

Key responsibilities

• Manage a steady volume of inbound calls, assisting members with benefit inquiries and account needs
• Resolve concerns by gathering information and documenting interactions to provide accurate solutions
• Identify complex situations and coordinate escalations while maintaining adherence to schedules and productivity expectations

Required qualifications

• Previous experience in a call center or customer service setting, preferably with healthcare or medical claims exposure
• Strong technical aptitude with the ability to navigate multiple systems during calls
• Ability to work independently in a quiet, HIPAA compliant home environment with reliable internet access
• Coachable and comfortable in a fast-paced phone-based role, with openness to feedback
• Effective communication skills combined with patience and a service-oriented mindset