Remote Customer Service Representative
Randstad USA, Scottsdale, AZ, United States
We are seeking a professional and detail-oriented Customer Service Intake Specialist to join our remote Care Center. In this role, you will serve as the primary point of contact for healthcare providers and members, processing authorization and service inquiries while striving for first-call resolution. You will research eligibility, communicate case updates, and help resolve non-clinical issues while strictly safeguarding protected health information.
salary: $17.5 - $18 per hour
shift: First
work hours: 8 AM - 4:30 PM
education: High School
Responsibilities
Authorization Processing:
Actively listen to callers and process authorization and customer service requests efficiently.
Problem Resolution:
Act as the first point of contact for customer complaints and make non-clinical problem-resolution decisions.
Communication:
Communicate member eligibility, provider status, and appeal/denial information clearly and professionally.
Clinical Support:
Guide callers on required clinical information to reduce unnecessary transfers to clinicians.
Requirements
Education:
High school diploma or GED.
Experience:
1+ year of call center experience.
Volume:
Ability to handle 50-100 calls daily in a fast-paced environment.
Technical Skills:
Proficient in Microsoft Office applications with a typing speed of at least 35 WPM.
Preferred Qualifications
2+ years of experience in a health plan, TPA, or medical call center.
Knowledge of managed care programs (Commercial, Marketplace, Medicaid, or Medicare).
Spanish & English is a plus.
Skills
Customer Service
Call Center Support
Computer Skills
Qualifications
Years of experience: 2 years
Experience level: Entry Level
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 HRsupport@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.
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salary: $17.5 - $18 per hour
shift: First
work hours: 8 AM - 4:30 PM
education: High School
Responsibilities
Authorization Processing:
Actively listen to callers and process authorization and customer service requests efficiently.
Problem Resolution:
Act as the first point of contact for customer complaints and make non-clinical problem-resolution decisions.
Communication:
Communicate member eligibility, provider status, and appeal/denial information clearly and professionally.
Clinical Support:
Guide callers on required clinical information to reduce unnecessary transfers to clinicians.
Requirements
Education:
High school diploma or GED.
Experience:
1+ year of call center experience.
Volume:
Ability to handle 50-100 calls daily in a fast-paced environment.
Technical Skills:
Proficient in Microsoft Office applications with a typing speed of at least 35 WPM.
Preferred Qualifications
2+ years of experience in a health plan, TPA, or medical call center.
Knowledge of managed care programs (Commercial, Marketplace, Medicaid, or Medicare).
Spanish & English is a plus.
Skills
Customer Service
Call Center Support
Computer Skills
Qualifications
Years of experience: 2 years
Experience level: Entry Level
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 HRsupport@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.
#J-18808-Ljbffr