AmeriHealth Caritas · 6 hours ago
Customer Service Representative
Philadelphia, PA
Full-time
Hybrid
Entry Level
1+ years expAmeriHealth Caritas is a mission-driven organization dedicated to helping people get care and build healthy communities. They are seeking a Customer Service Representative to respond to member inquiries and provide support related to benefits and eligibility in a professional manner.
Health CareInformation Technology
Responsibilities
Under the direct supervision of the operations supervisor, the customer service representative is responsible for responding to a diverse membership and their providers, as well as other customers, in a timely, professional, and courteous manner
This includes inbound and outbound member and/or provider phone calls or correspondence regarding benefits, eligibility, or customer issues
Makes outreach welcome calls to new members and conducts Health Risk Assessment Surveys as needed
Provides member education and assists members with PCP selection and assignments
Assists with access to care and wellness programs
Follows internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures
Demonstrate a passion for providing superior customer service to our customers and continually seek to understand the needs of those we serve
Create accurate and timely member documentation concerning all inquiries taken in accordance with established protocols to ensure resolution is provided and presented in a clear and accurate manner
Present and project a positive image of the company in and out of the office to fellow associates, members, providers, and the community by being courteous, helpful, energetic, respectful, and polite
Strive to resolve an inquiry on first contact while ensuring that the inquiry has been addressed to the customer’s satisfaction by using all resources efficiently and timely
Provide feedback and/or solutions to the supervisor to ensure continuous process improvement and provide a better customer experience
Creates and supports an environment that fosters teamwork, cooperation, respect, and diversity
Maintain an awareness of all product knowledge information
Able to respond positively to support change within the department and the company
Willing to be flexible regarding job responsibilities and schedule, not limited to but including, overtime and holidays, as a result of contractual business requirements
Routinely meet or exceed contact center key performance indicators
Perform other duties as assigned
Qualification
Required
MUST LIVE IN OR NEAR PHILADELPHIA, PENNSYLVANIA, TO QUALIFY FOR CONSIDERATION
High School diploma or GED required
1 year prior customer service experience required
Excellent judgment and decision-making skills in dealing with complaints and sensitive requests required
Ability to use PC applications in an MS Windows based required
Preferred
Call center experience taking in-bound and/or out-bound calls preferred
Prior experience in the healthcare or managed care industry preferred
Benefits
Flexible work solutions including remote options
Hybrid work schedules
Competitive pay
Paid time off including holidays and volunteer events
Health insurance coverage for you and your dependents on Day 1
401(k)
Tuition reimbursement
And more.
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
Company data provided by crunchbase