Project - Healthcare Customer Service TN

Project Based - Healthcare Customer Service TN

Full-Time

Are you an exceptional listener who thrives on solving problems and helping others?
Do your communication skills, empathy, and positive attitude allow you to create meaningful experiences for the people you support?

At Continuum Global Solutions, we believe in people who aim higher, reach farther, act bold, and stay passionate in everything they do. We are one team with one purpose: to help many by creating meaningful customer experiences, embracing diverse perspectives, and empowering every employee to learn more, take action, and be fully themselves  you are someone who enjoys solving problems, building trust, and making a difference one conversation at a time, this is your opportunity to contribute to a company that values compassion, collaboration, integrity, and excellence.

JOIN OUR TEAM TODAY!

We are seeking Project-Based Customer Service Representatives who can deliver a positive, supportive experience to callers while handling healthcare-related questions with care, accuracy, and professionalism.

In this role, you will support inbound calls from members and providers across a healthcare program. Calls may include questions related to coverage, plan information, service access, general claim status, account updates, and other routine support needs.

• Actively listen to callers to understand their concerns, build rapport, and create a positive customer experience.
• Provide accurate information related to healthcare plan services, eligibility-related questions, benefits, member materials, and other general support needs.
• Assist callers with account-related updates and guide them through available options and next steps in a clear, professional manner.
• Support both members and providers by researching questions across multiple systems while maintaining engagement throughout the interaction.
• Use client-specific tools, knowledge bases, and documented procedures to resolve inquiries efficiently and accurately.
• Follow compliance requirements, privacy standards, and established processes to support quality performance and audit readiness.
• Document all interactions thoroughly and accurately in the appropriate systems.
• De-escalate concerns with empathy, patience, and professionalism to simplify the caller’s healthcare experience.
• Navigate multiple applications and resources with speed and accuracy in a remote call center environment.
• Adapt to changing business needs and support additional call types or workflows as needed.

• High-speed internet with at least 50 Mbps download speed and 10 Mbps upload speed.
• Hard-wired internet connection via ethernet cable to a modem/router you own or are responsible for; no satellite, Wi‑Fi-only, or cellular internet services. 5G Home Internet provides are not accepted.
• Dedicated, quiet, and secure workspace free from distractions.
• USB wired headset with noise‑canceling microphone.

• Must be 18 years of age or older with a high school diploma or equivalent.
• Bilingual fluency in Spanish and English is a plus.
• Minimum of 6 months of previous healthcare call center, member service, provider service, pharmacy service, or related customer service experience preferred.
• Medicare, Medicaid, or managed care experience is a plus.
• Exceptional customer service, active listening, and verbal and written communication skills are required.
• Strong computer proficiency and the ability to navigate multiple applications efficiently.
• Willingness to work flexible shifts, including evenings, weekends, and holidays based on business needs.
• Professional attitude, dependable attendance, and courteous telephone etiquette.
• Schedule alignment with Pacific Time is required.…