Job Details

Are you a high-volume call center professional with a knack for navigating the complexities of health insurance? We are seeking dedicated individuals to join our growing team. In this role, you will serve as a vital link between members and dental providers, ensuring every inquiry is handled with precision and care.

As a Customer Service Representative, you'll do more than just answer phones; you'll be an educator and a problem-solver, helping members access essential care and assisting providers with claims, benefits, and coordination of services. MUST LIVE IN PST TIME ZONE (NO CALIFORNIA) or COLORADO/IOWA

salary: $18 - $18.5 per hour
shift: First
work hours: 10 AM - 6 PM
education: High School

Responsibilities

• Member Advocacy: Assist members in finding network dentists and understanding their eligibility and benefits.
• Provider Support: Resolve coordination of benefits inquiries by analyzing patient activity, enrollment, and claims attachments.
• Complex Problem Solving: Research and resolve inquiries via phone, email, web portal, and chat, ensuring accurate documentation of every interaction.
• Financial Accuracy: Resolve claim payment inquiries by analyzing history and managing resubmissions, stop payments, or voids as needed.
• Technical Guidance: Educate users on self-service tools and efficiently navigate multiple software applications simultaneously.

Required Qualifications:

• Experience: Minimum of 2 years in a high-volume customer service/call center environment.
• Industry Knowledge: At least 1 year of experience in the Health Insurance industry.
• Education: High School Diploma or equivalent.
• Tech Savvy: Ability to set up and troubleshoot your own computer equipment and proficiency in Microsoft Office.
• Communication: Proven professional verbal and written skills with the ability to handle repetitive work without losing accuracy.

The Details

• Pay Rate: $18.00/hour
• Bi-Lingual Rate: $18.50/hour (Seeking Spanish or Mandarin speakers)
• Location: Fully Remote (Must reside in CO, IA, or a PST timezone - NO CA)
• Training Schedule: 10:00 AM - 6:00 PM CT
• Post-Training Shift: Between 10:00 AM - 8:00 PM CT

Skills

Active Listening

Telephone Etiquette

CRM

Healthcare (1 year of experience is required)

Customer Service

Call Center Support (2 years of experience is required)

Qualifications

Years of experience: 2 years

Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact ...@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.