
*100% Remote* Bilingual Contact Center Agent – Customer Service Rep – Russian, Mandarin or Cantonese PREFERRED
The Operations Contact Center Service Agent is responsible for assisting members & providers with issues and inquiries about our members and their insurance, applications and/or claims in one or more families of products, i.e., Medicare, Medicaid. The Service Agent is also responsible for receiving and addressing member & provider inquiries, resolution of complaints, client education, retention of membership and dis-enrollments, and escalation of issues requiring additional intervention.
- This position is eligible for remote work!**
- Completion of the Contact Center Pre-Hire Assessment. This is not a pass/fail assessment, but helps give the hiring team a better understanding of your customer service skillsets! The assessment can be completed here: https://my.harver.com/app/landing/63ea4ec7d45777001222103c
- Paid Virtual Training: 6 weeks of classroom based training, between the hours of 930am to 530pm, depending on the required shift, Monday through Friday.
- Work Schedule: Must be available to work any shift between 8am to 8pm including weekends and holidays as needed. This may periodically change to meet business needs.
- States Eligible: NYC, NJ, CT, MA, NV, VA, FL, AL, TX, GA, NC, CO, MN, PA, WY, LA, NM, ND, WA, IN, NH, MD, TN, SC, KS, IA, ME, WV, AZ, SD, MS, OK, UT, MO, NB
- Salary is competitive based on location specified above.
- Higher rates will be considered for prior contact center, healthcare and/or bilingual language proficiency.
- Additionally, the position will be approved for overtime and quarterly bonuses that average $800 every 3 months.
- Benefits: Outstanding benefits package including: Medical, Dental, Vision, Basic Life & Accident Insurance, Flexible Reimbursement Accounts, Employee Assistance Plan, Healthfirst 401(k) plan plus much more!
- Interacting by phone with providers and members to provide information in response to inquiries, concerns, and questions about insurance coverage and products Healthfirst offers.
- Transferring calls from members and providers to the appropriate department.
- Following-up on inquiries and complaints that have not been resolved.
- Interacts with customers to provide information in response to inquiries about products and services.
- Perform research on billing inquires and claims to provide payments and refunds.
- Acts as a liaison between various departments to address concerns.
- Identify, research, and resolve customer issues using the computer system.
- Follow-up on customer inquiries not immediately resolved.
- Research member/provider billing and claims issues.
- Research payment and refund issues.
- Handle and resolve customer's complaints.
- Ability to navigate through automated information systems to analyze the caller’s situation.
- Ability to perform in a fast paced, changing environment
- Speaks in a way the customer can understand.
- Serves as liaison between the customer and various departments.
- Other duties as assigned by the management team related to job functions (sort incoming faxes, correspondence, fax transportation forms, etc.)
- May be required to work some overtime as the business requires.
- May be required to work flexible schedules (nights, weekends), or change schedules as it is determined necessary based on the needs of the business, which are subject to change.
- Demonstrates the ability to perform in a highly metric driven environment, maintaining minimum quality scores or better.
- Bachelor's Degree from an accredited institution OR equivalent working experience
- Work experience in a face to face or call center environment.
- Experience multitasking between programs and completing required data entry of client demographics or client look up systems while talking to Healthfirst customers.
- Work experience using a corporate email system.
- Experience navigating through system applications on a desktop computer.
- Adapt to a fast pace and ever changing environment.
- Flexibility to work evening and weekends due to business needs.
- HIGHLY Preferred - Ability to proficiently read, write and speak English and either: Russian, Mandarin, Cantonese, Hindi, Bengali, Urdu, Korean or Spanish
- Healthcare industry work experience.
- Call Center experience in a metrics driven environment.
- Previous healthcare work experience interacting with members and/or providers.
- Greater New York City Area (NY, NJ, CT residents): $38,200 - $49,920
- All Other Locations (within approved locations): $33,300 - $47,840
- The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
To apply for this job please visit careers.healthfirst.org.