Healthcare Customer Service

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Base pay range

$18.00/hr - $18.00/hr

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Duration: 5 Months Contract + High Potential to Extend

Location: 100% Remote

Pay: $18

Job Description:

Duties:

• Position is 100% remote.
• Candidates must have a reliable internet connection.
• Candidates can be located anywhere in the US, but must be able to accommodate the schedule and training schedule provided.
• The top 3 skills needed in candidates are empathy, strong technology skills, and multitasking.
• The Personal Advocate position is responsible for representing *** Behavioral Health (CBH) to all inbound callers within a call center environment and assuring the caller’s contact with CBH is positive.
• Advocates are many times the first encounter customers have with *** and thus are responsible for giving a positive first impression.
• The Advocacy tasks of this position are varied and often complex in nature, requiring flexibility and multi-tasking capabilities.

Responsibilities may include, but are not limited to:

• Educating customers on benefits, eligibility, referrals, non-clinical resources, and assessing for potential risk of harm or substance abuse concerns.
• This position services calls in a warm and empathetic manner, as many of the calls are sensitive in nature.
• Independent problem-solving skills are critical to success within the role, along with intelligent judgment in assessing the caller’s needs.
• Based upon the call type and requests, advocates should be able to use customer service skills, knowledge of the mental health/substance abuse field, and *** training to effectively address callers' needs in an educational manner.
• This position is an entry-level role with an opportunity for growth within the company.
• Incumbents will utilize telephonic communication the majority of the time, with some web and internal CBH materials to achieve first-time resolution for callers.

Responsibilities:

• The primary responsibility of the Advocate role is answering calls from customers, including providers.
• The majority of the day will be spent answering inbound calls from customers looking to access, understand, or utilize services.

Within a call, an advocate may:

• Register participants in the intake system and open case files
• Educate participants on their benefits based on individual plan design and other clinical or non-clinical resources available
• Conduct an intake as needed to assess for presenting concerns and risk of harm or substance abuse concerns
• Provide participants with the names and phone numbers of the nearest providers
• Multi-task by maneuvering through various computer programs and screens

As needed, an advocate may also:

• Write authorizations to ensure claims are paid correctly.
• Provide follow-up calls to participants to ensure the correct information is given
• Send eligibility requests to determine effective coverage dates or to verify correct benefits are loaded
• Send complaints to initiate the grievance process for customers

On all calls, an advocate is responsible for:

• Providing high-quality customer service as identified by the Advocacy department's quality standards
• Using independent problem-solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution
• Understanding the business needs of the role, while balancing the needs of the customer
• Taking an educational approach to ensure that callers are able to understand the complexities of accessing care
• Demonstrating a complete awareness and understanding of the responsibilities and workflows of the various departments within ***

Qualifications:

• Previous customer service experience or related position
• Superb interpersonal communication
• Effective listening and organizational skills
• Ability to manage multiple tasks, setting priorities where needed
• Independently problem solve, with the ability to function without constant supervision
• A demonstrated ability to type effectively, with strong PC skills/word processing experience, and ability to learn new computer software systems
• Ability to learn new workflows and tasks quickly
• Ability to work independently and be a team player
• Previous call center environment experience preferred
• Computer multi-tasking - working on numerous screens while staying engaged with the customer
• Qualified applicants will be considered without regard to race, color, age, disability, sex (including pregnancy), childbirth or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
• Bachelor's degree in the mental health field or psychology/social work related field required (can also include: family communications, health coaching, community/public health, or other related major).
• NOTE:
• This is a non-clinical role and does not require a license
• Previous customer service experience or related position
• Previous call center environment experience preferred

Interview Notes:

• Training Schedule will be Monday-Friday, 8:30 AM-5:00 PM CST
• Ongoing Schedule will be Monday-Friday, 10:30 am-7:00 pm CST
• Position is 100% Remote
• Candidates should be in CST or PST due to the schedule needs

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Customer Service

• Industries

  Hospitals and Health Care

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