Healthcare Customer Service Representative

Responsibilities

• Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches.
• Provide clear interpretation of dental benefits, policies, and procedures to members and providers.
• Resolve member or provider concerns by investigating issues and documenting interactions accurately in the billing system.
• Investigate verbal complaints regarding billing or services and escalate failures to appropriate departments.
• Meet or exceed established call volume and quality performance goals.
• Maintain thorough knowledge of Member Services policies and dental plan updates.

Requirements

• High school diploma, GED, or college degree.
• At least 1 year of face-to-face customer service experience.
• Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.
• High-speed internet connection (minimum 10 Mbps Download / 3 Mbps Upload) via hardwired ethernet (no satellite or wireless).
• Ability to work in a distraction-free, secure, and clutter-free home environment.
• Successful completion of a background check, customer service assessment, and typing test.

Preferred Qualifications

• Prior experience in a call center environment.
• Knowledge of or experience in the Dental, Medical, or Managed Care industry.

Benefits

• Competitive pay at $16 per hour.
• Medical, dental, and vision benefits available on the first day of employment.
• Paid time off accrued after 180 days of employment.
• Comprehensive training program including 5 weeks of classroom instruction and 2 weeks of nesting.
• All necessary computer equipment provided (Computer, Monitor, Mouse, Keyboard, Headset, etc.).

About the Company

Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments, creating exceptional outcomes for clients and millions of people worldwide. We offer a culture where individuality is valued and provide numerous growth opportunities within our healthcare team.