Call Center Specialist

Description

We are looking for 20 dedicated Call Center Specialists to join our clients 100% remote Customer Support Team. This Contract to permanent position requires individuals who can excel in a fast-paced, high-volume call center environment. The ideal candidate will possess strong communication skills, attention to detail, and a customer-focused mindset to ensure seamless interactions and high-quality service.

Responsibilities:

- Respond promptly to inbound calls from members, medical providers, and other parties, addressing inquiries and resolving issues.

- Process and adjust claims accurately while adhering to established guidelines.

- Provide clear and empathetic communication to address customer concerns and questions.

- Offer detailed information on fee schedules, network participation, and procedural requirements.

- Maintain accurate and up-to-date customer records and collaborate effectively with internal teams.

- Redirect misdirected calls, troubleshoot non-routine issues, and provide suitable solutions.

- Investigate and resolve inquiries using decision-support tools and training resources.

- Educate callers on processes and validate their understanding to ensure clarity.

- Support organizational projects and assist other departments as assigned by management.

- Adapt communication styles to align with the caller's level of understanding.

Requirements

- Prior experience in healthcare, insurance, and benefits administration is highly preferred

- High School diploma required; some college or business school education preferred.

- Proficiency in basic computer operations and intermediate skills in Microsoft Office Suite.

- Previous experience in a high-volume call center environment is essential.

- Knowledge of claims inquires, claims review procedures, and managed care policies.

- Familiarity with medical specialties, fee schedules, and appeals processes is highly desirable.

- Strong problem-solving abilities, attention to detail, and dependability.

- Flexible and adaptable to changes, with excellent time management and organizational skills.

Important Location Eligibility Notice:

To be considered for this position, you must reside in one of the following states where our client is licensed to operate:

+ Florida

+ Georgia

+ South Carolina

+ North Carolina

Candidates living outside these states are not eligible to apply.

Talent Match®

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ()  and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit  for more information.

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