Remote Customer Care Representative

Job Summary

Providing exceptional customer service, the full-time Remote Customer Care Representative will assist Dental and Vision inbound callers with eligibility, benefit coverage, claims, and provider location inquiries while working flexible hours from 6:00am to 10:00pm CST.

Key responsibilities

• Servicing inbound callers by providing information on eligibility, benefit coverage, authorizations, and claims
• Utilizing knowledge of claim adjustments to resolve provider requests and ensuring accurate documentation of calls
• Acting as a liaison between the organization and clients' Member Services to address eligibility issues and filing appeals

Required qualifications

• High school diploma or equivalent
• 1+ years of customer service experience in healthcare, call center, banking, or retail
• Basic knowledge of Microsoft Office products
• Ability to work occasional overtime as needed
• Understanding of dental, vision, and/or medical insurance terminology is preferred