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US

  • Answer inbound calls from Medicare Advantage members and providers with empathy and professionalism.
  • Handle inquiries regarding benefit eligibility, enrollment, and claims status while conducting thorough research.
  • Navigate multiple systems to resolve issues and advocate for members, ensuring first-call resolution.

Customer Service Call Center Medicare Advantage Microsoft Office Problem Solving

20 jobs similar to Customer Service Representative (Call Center)

Jobs ranked by similarity.

US

  • Create a welcoming experience by authentically engaging every caller and providing a world-class experience.
  • Thoroughly and accurately answer questions about customers' healthcare accounts and provide appropriate solutions.
  • Handle 35-50+ inbound and outbound phone calls per day and work closely with claim staff to adjust claims.

Point C Health is a national third-party administrator that delivers customized self-funded benefit programs. They are a mission-driven company with a focus on partnership, innovation, and a supportive culture.

North America

  • Takes incoming calls from members and navigates tools to resolve inquiries.
  • Maintains high service levels and meets performance targets.
  • Participates in training to develop product knowledge and skills.

Velera is a premier payments credit union service organization and integrated fintech solutions provider serving over 4,000 financial institutions. The company fosters a people-helping-people culture with a remote-first, inclusive environment.

US

  • Provide exceptional customer service to patients, labs, and pharmacies via phone and chat.
  • Develop deep product knowledge to address inquiries about treatments and appointments.
  • Maintain accurate records of interactions and escalate issues as needed.

Honeydew provides a platform connecting patients to licensed dermatologists and FDA-approved treatments for skin diseases. They have helped over 40,000 patients and are growing rapidly with a mission-driven team.

US

  • Serve as the primary point of contact for customers via phone, resolving issues and guiding solutions.
  • Accurately document interactions and collaborate with departments to ensure positive experiences.
  • Exceed satisfaction goals with strong communication and problem-solving skills.

InteLogix is a trusted leader in providing innovative human capital solutions and exceptional services. With 19 global centers, they help 23 million people and their families simplify work and life, driven by teamwork and excellence.

US

  • Communicate with members via phone and email, providing empathetic support and solutions.
  • Accurately document interactions and collaborate with the team to share best practices.
  • Handle a high volume of inbound calls with a solution mindset and people-focused approach.

Achieve is a leading digital personal finance company helping people move from struggling to thriving with personalized financial solutions. We have over 3,000 employees in mostly hybrid and remote roles across the United States, with a culture focused on empathy and inclusion.

US

  • Handle incoming calls and answer routine to complex questions from members and providers.
  • Investigate member inquiries and provide timely responses within SLAs.
  • Document customer interactions in CRM and maintain accurate records.

Qualfon is a global provider of omnichannel customer experience and business support solutions. They strive to help people pursue their total vocation by creating job opportunities and fostering a supportive, purpose-driven team.

Puerto Rico

  • Engage members through inbound and outbound calls to encourage participation in care management programs.
  • Complete non-clinical assessments and identify health risks, care needs, and opportunities for clinical follow-up.
  • Help members schedule healthcare appointments and connect with appropriate resources and benefits.

This company provides care management support services to help members improve their health and well-being. They operate as a fast-paced remote call center environment with a focus on compassionate service and structured processes.

$33,280–$33,280/yr
US

  • Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
  • Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
  • Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.

US

  • Provide high-level customer service to clients and vendors via phone, chat, and email addressing maintenance, accounting, and general inquiries.
  • Handle 60-80 calls daily, process voicemails, and create detailed work orders for vendors.
  • Collaborate with managers to ensure special requests are handled promptly and accurately.

Action Property Management is a premier homeowner's association management company with a legacy spanning four decades. With nearly 900 team members serving over 300 communities, we pride ourselves on integrity, excellence, and care for people.

  • Connect with customers via phone/email/chat/social media to resolve questions or concerns.
  • Calmly de-escalate issues and escalate interactions when necessary.
  • Track call information for auditing and reporting, and upsell if required.

TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.

US

  • Act as a Gentiva representative helping patients navigate post-acute care, Medicare, billing, and healthcare resources.
  • Handle non-clinical inbound calls, escalate to nurses when needed, and assist in the admissions process.
  • Maintain awareness of performance objectives, ensure patient satisfaction, and adhere to company policies.

Gentiva provides compassionate in-home care including hospice, palliative, home health, and advanced illness management. It operates nearly 600 locations with thousands of clinicians in 38 states, fostering a collaborative and supportive culture.

Texas

  • Handle inbound calls from members, clients, and facilities with professionalism.
  • Manage 60-80 calls daily, with higher volumes on Mondays.
  • Perform various tasks that increase in complexity as skills progress.

MTM Health provides personalized non-emergency medical transportation to remove community barriers. The company fosters a collaborative and innovative culture with a focus on employee growth and development.

US

  • Serve as the central telephonic point of contact for prospective participants, building trust-based relationships from the first conversation.
  • Make outbound follow-up calls to prospects and support inbound campaigns by educating about PACE services and eligibility.
  • Coordinate warm handoffs to on-the-ground Enrollment Specialists and ensure a seamless transition from central touchpoint to local engagement.

Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and support for daily needs. They are a growing organization supported by leading healthcare investors, focused on mission-driven care.

US

  • Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
  • Effectively present and discuss products and services to customers with integrity.
  • Focus on customer retention through first call resolution and enhance member experience.

Capital Blue Cross is a health insurance company providing medical, dental, and vision coverage. It is recognized as a top workplace in Pennsylvania and fosters a supportive culture with flexible work and growth opportunities.

$17–$17/hr
US

  • Respond to member calls and emails, providing clear information about benefits, costs, and coverage options.
  • Investigate and resolve benefit-related issues by researching plan details and identifying solutions.
  • Maintain accurate documentation of interactions and case outcomes using internal systems.

US

  • Handle customer billing inquiries, service orders, and trouble calls with integrity and empathy.
  • Promote sales of products and services while building genuine customer connections.
  • Participate in on-call rotation and mandatory overtime during storms or emergencies.

Duke Energy is an electric power and gas utility company serving millions of customers across the United States. The company fosters a friendly work environment with opportunities for growth and development, and employs a large, diverse workforce.

US

  • Engage with members via phone, email, and live chat to answer questions and provide excellent service.
  • Assist participants in qualifying for and selecting the right health or wellness programs.
  • Resolve inquiries, disputes, and escalations with professionalism and empathy.

Solera Health transforms lives through innovative, connected healthcare solutions by connecting people with programs to improve well-being and prevent chronic disease. We are a fast-growing company that values teamwork, integrity, and opportunity.

US

  • Make high-volume outbound calls to members to verify and gather information from health plan referrals.
  • Accurately document member interactions and update records in the system before case assignment.
  • Collaborate with the Client Services team to ensure smooth handoff and thorough information transfer.

We are a client services team focused on member outreach for health plans. Our team is detail-oriented and process-driven, with a commitment to accuracy and professionalism.

US

  • Handle inbound calls from patients, attorneys, and insurance providers to resolve billing-related issues.
  • Communicate revenue cycle processes and insurance information clearly to ensure positive customer experiences.
  • Apply knowledge of healthcare insurance terminology and payer requirements to support accurate responses.

The company is a healthcare services organization that provides patient support and revenue cycle management services. It fosters a patient-focused, remote work culture with an emphasis on empathy and professionalism.

US 4w PTO

  • Manage inbound calls from patients and healthcare providers regarding insurance coverage, patient access, reimbursement support, and referral updates.
  • Review and validate patient demographics, insurance details, and referral information to ensure accurate processing.
  • Explain healthcare benefits including copays, coinsurance, deductibles, coverage limitations, and financial responsibilities.

Jobgether is a job matching platform that uses AI to connect candidates with employers. They focus on efficient, objective recruitment processes.