NYC Health + Hospitals · 2 days ago
Customer Service Rep I
New York, NY
Full-time
Onsite
Entry Level
$49K/yr - $69K/yr
1+ years expNYC Health + Hospitals is the largest public health system in the United States, providing high-quality healthcare services. The Customer Service Representative is responsible for delivering comprehensive service to customers, addressing inquiries, resolving issues, and assisting with provider-related questions.
Health CareHome Health CareHospitalMedicalNursing and Residential Care
Responsibilities
Strive for first call resolution, working to resolve member and provider issues as the point of contact
Utilize dual monitors and leverage computer-based resources to find answers to customer questions
Research and respond accurately to all customer inquiries related to eligibility, benefits/services, claims and authorizations
Classify and record all customer encounters clearly and concisely
Identify and escalate complex issues and provide follow-up/closure
Identify and intake customer complaints capturing all pertinent information
Assist members with PCP selection, as well as, locating providers and vendors within plan’s network
Verify and update member demographic information
Process requests for member materials, such as ID cards, member guide, provider directory, etc
Handle enrollment inquiries and generate sales leads
Handle disenrollment requests and pro-actively conduct retention efforts
Perform outreach related to New Member Orientation and PCP term/reassign projects
Process premium payments
All other duties and special projects as assign by the Director of Customer Service
Ability to work between 8:00 AM and 6:00 PM Monday - Friday, and 9:00 AM-5:00 PM Saturday
Training class (Paid): 9:00 AM-5:00 PM Monday-Friday
Qualification
Required
High School graduation or evidence of having satisfactory passed a High School Equivalency Program
Minimum 1 year experience in a call center environment
A satisfactory equivalent combination of education, training, and experience
Proven experience in providing excellent service to customers in various healthcare related areas, (i.e., insurance, doctor's office, medical clinics)
Poise under pressure when dealing with difficult situations and potentially upset customers
Ability to work in a fast-paced environment while keeping a high attention to detail
Preferred
Managed care experience preferred
Benefits
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
Company
NYC Health + Hospitals
NYC Health + Hospitals is an interconnected system of hospitals, health care centers, nursing homes, and home care.
10001+ employees
H1B Sponsorship
NYC Health + Hospitals 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
2020 (2)
Funding
Current Stage
Late StageTotal Funding
$3.9MKey Investors
The Leona M. and Harry B. Helmsley Charitable Trust
2022-07-26Grant· $3.9M
Leadership Team
A
Andrea G. Cohen
Senior Vice President, General Counsel and Chief Labor Relations Officer
Danielle DiBari
SVP Business Operations, Chief Procurement Officer and Chief Pharmacy Officer
Recent News
Fierce Healthcare
2026-01-03
Crain's New York Business
2025-12-02
Crain's New York Business
2025-11-22
Company data provided by crunchbase