Medical Call Center Representative

Effectively schedule of participant's appointments, including trouble-shooting conflicts or urgent needs, communicating with staff, family, providers, etc., and meeting appointment turn-around times as outlined by scheduling protocols. The Customer Service Representative will be focused on inbound within the remote call center to assist patients, caregivers, and family membres with questions, scheduling, processing authorizations, customer inquiry, and additional admin tasks as needed.

Healthcare organization is seeking compassionate individuals to join their remote customer care team. The Customer Service Representative will be focused on inbound within the remote call center to assist patients, caregivers, and family membres with questions, scheduling, processing authorizations, customer inquiry, and additional admin tasks as needed. 

Equipment: Company provided Laptop, Headset, keyboard, mouse and Monitor

Schedule: All applicants must have schedule flexibility within the following hours: Monday - Friday 6AM - 6:30PM and Saturday 6:00AM-6:00PM.

Job Overview

• Answer incoming phone calls, emails, and contacts in a fast paced call center environment [approx. 75+ calls per day]
• Screen, transfer, resolve and dispose of calls expeditiously.
• Effectively schedule of participant's appointments, including trouble-shooting conflicts or urgent needs, communicating with staff, family, providers, etc., and meeting appointment turn-around times as outlined by scheduling protocols
• Review, process, schedule and authorize orders
• Ensure timely documentation of all updates and communication is documented within internal system
• Provide eligibility status and benefit information for participants
• Address participant and provider inquiries
• Escalate concerns as needed

Job Requirements

• High School Diploma or GED Required
• 2-3 years experience in a call center environment with high volume in bound and out bound calls 
• Fluency in Spanish is a plus, but not required
• Customer Service in a healthcare setting is a plus
• Must have prior experience with CRM or EHR/EMR platform
• Must have reliable high-speed internet connection at home.