Remote Healthcare Customer Service Representative

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

** Remote Call Center Representative*
* Would you enjoy being part of a team that makes a difference in people's lives? Do you love helping people solve complex problems and deliver solutions? We are looking for people with a passion for helping others, naturally empathy, and are determined to deliver a comprehensive solution to healthcare-related calls. To be successful customer service experience is a plus, but not a requirement.

** Conduent has plenty of growth opportunities within the healthcare team.*
* + The pay rate is $16 per hour, which may be below your state's minimum wage. Please take this into consideration when applying.

+ Training is 5 weeks classroom and 2 weeks nesting.

+ Successfully complete a mandatory paid training program with 100% attendance. 

+ Hours of operation:
Monday - Sunday 7:30am - 11:00pm EST

+ Medical, dental and vision benefits are available on the 1st day of employment.

+ Paid time off is accrued after 180 days (about 6 months) of employment.

+ Successfully navigate 6 systems and average 32 calls per day.

** Responsibilities for Remote Call Center Representative:*
* + Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.

+ Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.

+ Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.

+ Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.

+ Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.

+ Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.

+ Achieve all assigned individual monthly performance metrics.

+ Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.

+ Perform additional duties and responsibilities as assigned by management.

** Requirement for Remote Call Center Representative:*
* + Successfully complete customer service assessment & typing test. 

+ High school diploma, GED, or college degree 

+ At least 1 year of Call Center experience preferred.  

+ 1 year of face-to-face customer service experience.  

+ Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.    

+ Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.  

+ Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.  

+ Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.  

+ Effective communication skills over the phone. 

+ Ability to deal with problems involving several concrete variables in standardized situations.

+ Successful completion of background check is required for this position. 

** Equipment and workspace requirements** : 

+ We provide all equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)

+ You must have a home internet connection of 10 Download and 3 Upload Speed (you may do a quick check through  

+ Must be able to hardwire your work computer directly to your home modem via ethernet. Ensure the available connection meets the minimum bandwidth requirements to perform your job function.  
** Satellite internet and wireless internet are not acceptable.*
* + Must have a  
** distraction*
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