Call Center Representative – Healthcare Member Services
Location: REMOTE – CANDIDATE MUST BE LOCATED IN CALIFORNIA
Job Type: Contract, 6+ Months
Schedule: Full-Time, 40 Hours per Week
Potential for Extension/Conversion: Yes
Position Overview
We are seeking experienced Call Center Representatives to provide customer service and support to health plan members. In this role, you will handle inbound calls and assist members with a variety of healthcare-related questions, including prescription benefits, primary care providers, benefits, and eligibility.
The ideal candidate has at least two years of customer service experience, is comfortable working in a fast-paced call center environment, and is proficient with computers and phone-based technology.
Key Responsibilities
- Handle inbound calls from health plan members in a professional and customer-focused manner.
- Assist members with questions related to prescription benefits, primary care providers (PCPs), health plan benefits, and eligibility.
- Research member questions and provide accurate and timely information.
- Navigate multiple computer systems while communicating with members by phone.
- Document member interactions and maintain accurate records.
- Work with internal teams, including Pharmacy, Eligibility, Benefits, and other business units, to help resolve member issues.
- Maintain a high level of professionalism, accuracy, and customer service throughout each interaction.
Required Qualifications
- 2+ years of customer service experience.
- Strong computer and technology skills, including the ability to navigate computer and phone systems efficiently.
- Proficiency with Microsoft Office.
- Strong verbal communication and active listening skills.
- Ability to work effectively in a high-volume, customer-focused environment.
- High school diploma or equivalent.
- Reliable and consistent employment history.
Preferred Qualifications
- Previous call center experience.
- Healthcare, health insurance, member services, or benefits experience.
- Experience supporting customers with eligibility, benefits, pharmacy, or similar inquiries.
- Armed Forces/military experience is a plus.
Schedule & Work Environment
This is a 40-hour-per-week position. Work schedules will be established based on business needs and operating hours. Some overtime may be available or required.
Candidates must have the ability to maintain a reliable wired Ethernet connection when working remotely. Standard laptop equipment will be provided