Job Description
Position: Health Care Call Center Representative (REMOTE)
Work Schedules:
New associates typically begin with one of the following shifts:
- Monday to Friday, 08:00 AM - 05:00 PM OR 09:30 AM - 06:30 PM
- NO weekends
Job Overview:
As a Health Care Call Center Representative, you will play a key role in delivering world-class customer service. You will assist callers by addressing inquiries, resolving issues, and managing pharmaceutical or medical health transactions. Comprehensive training will be provided to ensure you have the tools and knowledge to succeed. This role is ideal for team players who are passionate about providing outstanding service to clients and their customers.
Primary Responsibilities:
- Respond to inbound calls and process customer requests in the relevant system.
- Use sound judgment to resolve customer billing inquiries by analyzing account history and making appropriate adjustments.
- Escalate calls when necessary and provide routine health care information to facilities, doctors, and members. This includes details on coverage dates, claims history, deductible amounts, and medical benefits.
Qualifications & Skills:
- Education: High School Diploma or equivalent; at least 1 year of related experience is preferred.
- Experience: Previous customer service experience in a call center preferred for entry-level positions, required for higher levels (Rep II & III).
- Preferred Experience: Working knowledge of Medicare, Medicaid, Affordable Care Act, Commercial/Small & Large Group, and/or Pharmaceutical Benefits Management.
- Technical Skills: Proficiency with computers, keyboarding, and navigating multiple programs in a Windows-based environment.
- Communication Skills: Strong interpersonal communication and the ability to simplify complex information.
- Problem Solving: Excellent research, problem-solving, and critical thinking skills.
- Adaptability: Ability to adjust communication style to meet customer needs and thrive in a dynamic team environment.
- Commitment: A strong dedication to continuous learning and professional development.
Work-from-Home Requirements:
- High-speed internet with the capability for a wired connection if needed.
- A quiet, distraction-free workspace to attend training and work effectively.
Training Schedule:
- Duration: 1-2 weeks
- Hours: Monday to Friday, 8:00 AM - 5:00 PM CST
- Note: Time off is not allowed during the training period due to the classroom environment.
Compensation:
- Hourly Rate: $18.50/hour
- Start Date: December 2nd, 2024
Interview Process for the job:
- 30-minute video interviews via Microsoft Teams.
- Preference for 3 days of scheduled interviews; dates to be determined based on candidate availability.
Project Scope:
The project involves handling brief, transactional calls averaging 2-3 minutes. Representatives will assist with the Pharmacy Solutions help desk line, addressing inquiries about prescription fills/refills, claims, and payment issues. Strong customer service skills are essential.
Contact: Gabriel P. ([email protected])
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
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About Kelly
Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.