Customer Service Representative - Clinical Operations - Remote - Specialty Health Programs

Join the Team: Customer Service Representative - Clinical Operations - Remote American Specialty Health (ASH) is seeking a passionate and dedicated Customer Service Representative - Clinical to join our dynamic team! As a key member of our high-volume call center, you will have the opportunity to make a positive impact on the lives of our members by providing exceptional customer service and support nationwide. Enjoy the freedom and flexibility of this Remote role, and be part of a team that empowers individuals to live healthier and longer. About American Specialty Health American Specialty Health is a leading healthcare organization that specializes in providing innovative solutions to improve healthcare outcomes. Our mission is to empower individuals to live healthier and longer by providing access to high-quality, specialty healthcare services. With a strong commitment to customer satisfaction, we are dedicated to delivering exceptional service and support to our members. Job Summary As a Customer Service Representative - Clinical, you will play a critical role in supporting our company's mission by providing exceptional customer service to our members. You will respond to customer inquiries, provide information regarding all aspects of the members' association with ASH, and forward logs requiring further research to the appropriate department. This is a fantastic opportunity to grow your career in a fast-paced and dynamic environment. Key Responsibilities Provide Exceptional Customer Service: Answer incoming calls in a professional, accurate, timely, and courteous manner, and respond to customer inquiries via phone and other communication channels. Record and Document Information: Ascertain the nature of the call and record information in the Communication Log, and document all calls appropriately. Utilize Proprietary Systems: Look up member information using proprietary ASH systems and provide information to the caller. Forward Logs and Transfer Calls: Forward logs requiring further research to the appropriate department, and transfer callers to the appropriate queue if the question is of a more complex issue (claims, authorizations, etc.). Manage Time and Prioritize Tasks: Manage time to ensure calls are answered within required timeframes and appropriate follow-up is done in a timely manner. Meet Key Job Accountabilities: Meet or exceed minimum key job accountabilities established for the Customer Service Representative position. Attend Meetings and Respond to Requests: Attend weekly staff and other meetings to discuss issues and foster teamwork among department personnel, and respond to requests for internal and external customers and/or clients, as required. Qualifications Essential Qualifications High School Diploma or Equivalent: High school diploma or equivalent required. Customer Service Experience: Minimum of one-year experience performing customer service duties; inbound call center experience preferred. Basic Computer Skills: Basic computer skills required. Strong Verbal Communications Skills: Strong verbal communications skills required. Preferred Qualifications Healthcare Industry Experience: Experience in the healthcare industry or a related field. Excellent Communication and Interpersonal Skills: Excellent communication and interpersonal skills. Ability to Work in a Fast-Paced Environment: Ability to work in a fast-paced environment with multiple priorities and deadlines. Core Competencies Customer Service Skills: Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. Communication and Interpersonal Skills: Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment. Organizational and Time Management Skills: Ability to effectively organize, prioritize, multi-task, and manage time. Analytical and Problem-Solving Skills: Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions. Confidentiality and Data Security: Ability to exercise strict confidentiality in all matters. Work Environment and Culture American Specialty Health is a remote-friendly organization that offers a flexible and supportive work environment. As a remote worker, you will be able to work from home in a designated work area with company-provided technology equipment. We offer a competitive salary and benefits package, including: Competitive Salary: Starting pay at $15/hour with potential of $16/hour within the first year, plus merit. Bonus Opportunities: Additional bonus opportunities based on meeting Key Job Accountabilities (KJA) after 6, 12, and 24 months. Comprehensive Benefits Package: Comprehensive benefits package, including medical, dental, and vision coverage. Opportunities for Career Growth and Development: Opportunities for career growth and professional development. Career Growth Opportunities and Learning Benefits At American Specialty Health, we are committed to the growth and development of our employees. We offer a range of training and development programs to help you build your skills and advance your career. Our employees have the opportunity to: Participate in Training and Development Programs: Participate in training and development programs to build their skills and knowledge. Take on New Challenges and Responsibilities: Take on new challenges and responsibilities to advance their careers. Collaborate with Colleagues and Leaders: Collaborate with colleagues and leaders to drive business results and achieve company goals. Why Join Our Team? By joining our team, you will have the opportunity to: Make a Positive Impact: Make a positive impact on the lives of our members. Grow Your Career: Grow your career in a fast-paced and dynamic environment. Enjoy a Flexible Work Environment: Enjoy a flexible work environment with remote work options. Be Part of a Team: Be part of a team that is passionate about delivering exceptional customer service and support. How to Apply If you are a motivated and customer-focused individual who is looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team of dedicated and passionate customer service professionals! Apply To This Job American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law. Apply for this job