Customer Service Representative-Remote (Healthcare Claims)

This job was posted over 30 days ago, so it has most likely closed. See newer jobs like it.

Written by AI from the job title and company, not by Concentrix, so some details may not match this job. The employer's own page has the real description.

Job Overview

The Customer Service Representative (Healthcare Claims) at Concentrix plays a crucial role in ensuring that clients receive exceptional service regarding their healthcare claims. This position involves managing incoming inquiries, providing accurate information, resolving issues, and facilitating claims processing while maintaining compliance with regulatory requirements. The successful candidate will possess strong communication skills, problem-solving abilities, and a commitment to delivering customer satisfaction in a fast-paced virtual environment.

Job Responsibilities

• Respond to customer inquiries related to healthcare claims via phone, email, and chat.
• Provide detailed information regarding claim status, coverage details, and eligibility criteria.
• Assist customers in understanding claim processes and documentation requirements.
• Identify and resolve issues related to claims processing and payment delays.
• Maintain accurate records of customer interactions and claims status in the company’s database.
• Collaborate with internal departments to facilitate timely resolution of customer concerns.
• Adhere to company policies and healthcare regulations while handling sensitive information.

Qualifications

• High school diploma or equivalent; associate or bachelor’s degree preferred.
• Minimum of 1-2 years of experience in customer service, preferably within the healthcare industry.
• Strong understanding of healthcare claims processing and insurance terminology.
• Excellent verbal and written communication skills.
• Proficient in using computer systems and customer relationship management (CRM) software.
• Ability to perform well under pressure and manage multiple tasks simultaneously.
• Detail-oriented with strong analytical and problem-solving skills.

Technologies & Tools

The Customer Service Representative will utilize various technologies and tools to efficiently handle customer inquiries and manage claims. This includes customer relationship management (CRM) software for tracking interactions, healthcare-specific claim management systems for processing claims, and communication platforms for contact with clients and colleagues. Additionally, employees will use data entry tools and reporting software to ensure timely updates and performance tracking.

Ideal Candidates

Ideal candidates for the Customer Service Representative position possess a strong customer-centric approach and demonstrate resilience in a dynamic environment. They are characterized by their empathy towards clients, ability to work independently, and a strong commitment to achieving service excellence. Proficiency in healthcare terminology and a desire to assist others in navigating their healthcare issues will set candidates apart as effective members of the Concentrix team.