HireTalent - Staffing & Recruiting Firm ยท 2 days ago
Healthcare Customer Service Representative
HireTalent is a staffing and recruiting firm seeking a Healthcare Customer Service Representative. The role involves handling inbound calls regarding insurance benefits and providing assistance to policyholders and providers while working in a remote setting.
Responsibilities
This position is 100% remote, and candidates can be sourced from across the US as long as they're able to support the EST schedule
Candidates must have a quiet and private working environment
Candidates must have a reliable, high-speed internet connection
Candidates must have a hard-wired internet connection to connect to the equipment - a WiFi connection will not suffice
With this job, you will make and/or take phone calls regarding insurance benefits, shipments, prior authorization, and copays
Pharmacy, Insurance, and Call center experience is preferred
The position you applied for is our inbound insurance phone queue for advanced therapy drugs
These drugs are prescribed for pulmonary fibrosis and pulmonary hypertension
Delivers straightforward administrative and/or other basic business services in Customer Service
Receives requests by mail, telephone, or in person regarding insurance claims/policies
Responds to inquiries from policyholders, providers, and/or others for information and assistance
Performs research to respond to inquiries and interprets policy provisions to determine the most effective response
Mails or routes claim forms and supporting documentation to various units for final processing
Position typically requires excellent interpersonal skills, the ability to understand and interpret policy provisions
Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity
Issues tend to be routine in nature
Good knowledge and understanding of Customer Service and business/operating processes and procedures
Works to clearly defined procedures under close supervision
Qualification
Required
This position is 100% remote, and candidates can be sourced from across the US as long as they're able to support the EST schedule
Candidates must have a quiet and private working environment
Candidates must have a reliable, high-speed internet connection
Candidates must have a hard-wired internet connection to connect to the equipment - a WiFi connection will not suffice
With this job, you will make and/or take phone calls regarding insurance benefits, shipments, prior authorization, and copays
The position you applied for is our inbound insurance phone queue for advanced therapy drugs
Delivers straightforward administrative and/or other basic business services in Customer Service
Receives requests by mail, telephone, or in person regarding insurance claims/policies
Responds to inquiries from policyholders, providers, and/or others for information and assistance
Performs research to respond to inquiries and interprets policy provisions to determine the most effective response
Mails or routes claim forms and supporting documentation to various units for final processing
Position typically requires excellent interpersonal skills, the ability to understand and interpret policy provisions
Independently responds to inquiries, grievances, complaints, or appeals ranging from routine to moderate complexity
Issues tend to be routine in nature
Good knowledge and understanding of Customer Service and business/operating processes and procedures
Works to clearly defined procedures under close supervision
High School Diploma
Be prepared to work between the hours of 8 am-6:30 pm EST, as those are the working hours of production
Training hours are 8:30 - 5 pm EST with a 30-minute lunch
Preferred
Pharmacy, Insurance, and Call center experience
A pharmacy background
Call Center experience
Previous work at home experience
Company
HireTalent - Staffing & Recruiting Firm
HireTalent is a certified Minority Business Enterprise (MBE) workforce solutions firm, specializing in securing the best talent fits in Executive/Retained Search, Direct Hire Placements, MSP, SOW, and nationwide hiring program management and support.