Customer Service Professional (Remote)

Employer Industry: Healthcare Services Why consider this job opportunity... - Opportunity for career advancement and growth within the organization - Supportive and collaborative work environment - Chance to make a positive impact on customer satisfaction and service delivery - Commitment to employee development and recognition of success - Emphasis on a people-first culture that aligns personal aspirations with professional projects What to Expect (Job Responsibilities): - Serve as the primary liaison for members and providers regarding program inquiries such as eligibility, authorizations, and claims - Handle and resolve customer inquiries and complaints, ensuring first call resolution - Research and triage customer issues using available resources - Maintain detailed call logs to record customer interactions and actions taken - Act as the primary representative for the organization, focusing on customer engagement and relationship building What is Required (Qualifications): - High School Diploma or equivalent - Minimum of 4 years in a customer service environment - Knowledge of customer service principles and practices - Ability to resolve customer problems while maintaining patience and courtesy - Capability to work well under pressure in a rapidly changing environment How to Stand Out (Preferred Qualifications): - Associates Degree or Bachelor's Degree - Bilingual (Spanish) or other languages - 2+ years in an HMO/Healthcare Industry setting - Understanding of Protected Health Information (PHI) and confidentiality - Proficiency with MS Office suite #HealthcareServices #CustomerService #CareerOpportunity #EmployeeDevelopment #FirstCallResolution At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer Apply Job!