Experienced Contact Center Agent - Customer Service Representative for Healthcare Insurance (100% Remote with Flexible Schedules)

Join Healthfirst as a 100% Remote Contact Center Agent - Customer Service Representative Healthfirst is seeking a dedicated and skilled Contact Center Agent - Customer Service Representative to join our dynamic team on a full-time, 100% remote basis. As a key member of our operations, you will be the frontline representative ensuring member satisfaction through effective communication, problem resolution, and client education. This role is pivotal in providing top-notch assistance to our members and providers, addressing a wide range of inquiries related to insurance, applications, and claims across various product lines such as Medicare and Medicaid. About Healthfirst and the Role Healthfirst is a leading healthcare organization committed to providing quality healthcare services to its members. As a Contact Center Agent, you will play a crucial role in our operations, working closely with members and providers to resolve their inquiries and concerns. This position offers a unique opportunity to work in a fast-paced, ever-changing environment where no two calls are the same, and your problem-solving skills will be utilized to their fullest. The role is 100% remote, offering you the flexibility to work from the comfort of your home. However, it's essential to note that the job requires availability for any shift between 8 am to 8 pm EST, including weekends and holidays as needed, to meet our business demands. You will undergo a comprehensive 6-week paid virtual training program, which will equip you with the necessary skills and knowledge to excel in this position. Key Responsibilities Interacting with providers and members via phone to provide information in response to inquiries, concerns, and questions about insurance coverage and products Healthfirst offers. Transferring calls from members and providers to the appropriate department. Following up on inquiries and complaints that have not been resolved. Providing information in response to inquiries about products and services. Performing research on billing inquiries and claims to provide payments and refunds. Acting as a liaison between various departments to address concerns. Identifying, researching, and resolving customer issues using the computer system. Researching member/provider billing and claims issues. Handling and resolving customer complaints. Navigating through automated information systems to analyze the caller's situation. Performing in a fast-paced, changing environment. Serving as a liaison between the customer and various departments. Completing other duties as assigned by the management team related to job functions. Essential Qualifications To be considered for this role, you must have: A High School Diploma or GED. Work experience in a face-to-face or call center environment. Experience multitasking between programs and completing required data entry of client demographics or client lookup systems while talking to customers. Work experience using a corporate email system. Experience navigating through system applications on a desktop computer or laptop. The ability to adapt to a fast pace and ever-changing environment. Flexibility to work evening and weekends due to business needs. Preferred Qualifications While not mandatory, the following qualifications are highly preferred: The ability to proficiently read, write, and speak English and either Russian, Mandarin, Cantonese, or Spanish. Healthcare industry work experience. Call Center experience in a metrics-driven environment. Previous healthcare work experience interacting with members and/or providers. What We Offer Healthfirst is committed to the well-being of its employees, offering an outstanding benefits package that includes: Medical, Dental, Vision coverage. Basic Life & Accident Insurance. Flexible Reimbursement Accounts. Employee Assistance Plan. Healthfirst 401(k) plan. Incentive and recognition programs. A competitive salary commensurate with your location and experience. Overtime and quarterly bonuses averaging $1,100 every three months. Opportunities for career growth into roles such as performance support, Senior Agent, people leader, business analytics, and workforce effectiveness. Compensation The hiring range for this position is: Greater New York City Area (NY, NJ, CT residents): $39,208 - $52,000. All Other Locations (within approved locations): $34,091 - $49,920. Your salary and related elements of compensation will be contingent upon your work experience, education, licenses, and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. Why Join Healthfirst? At Healthfirst, we believe in providing a competitive compensation and benefits package wherever our employees work and live. We are an equal opportunity employer, considering applicants and employees for positions without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, or any other protected Federal, State/Province, or Local status unrelated to the performance of the work involved. Don't Hesitate, Apply! If you're looking for a challenging and rewarding role in a dynamic and growing organization, we encourage you to apply. Don't worry if you don't meet every single requirement - we value a great attitude and a willingness to learn above all. Submit your application today and join our team of dedicated professionals committed to providing quality healthcare services. Healthfirst is committed to diversity and inclusion, and we welcome applications from candidates with diverse backgrounds and experiences. Apply for this job