Healthcare Customer Service Representative (100% REMOTE/NO C2C)

Amerit Consulting is a fast-growing staffing and consulting firm seeking a Member Services Agent. The role involves handling member and patient inquiries, resolving issues, and providing education while ensuring adherence to department protocols.

Responsibilities:

• Handling member/patient phone calls in order to provide information, resolve issues, and educate when necessary
• Record all calls, in accordance with policy, in the “Customer Service” module of the managed care information system
• Work effectively with other members of Health Team in the to meet the needs of the member/patient
• Adhere to the department protocols and greeting scripts
• Participates as part of a shared commitment to achieving established department goals
• Work as an affective member of the team when faced with challenges
• Project a professional demeanor that reflects service quality

Requirements:

• High School Diploma, GED, or equivalent
• Minimum of 3 years working in a healthcare customer services environment or related experience
• Knowledge of basic managed care principles and healthcare terminology
• Ability to handle sensitive situations with empathy and professionalism
• Ability to maintain confidentiality of all patient, physician, and academic matters pertaining to job responsibilities
• Must be detailed oriented, attentive, organized and able to follow directions
• Ability to problem solve and provide timely follow up
• Ability to multi-task, simultaneously thinks, talks, and types
• Ability to learn managed care principles, practices, and procedures
• Ability to utilize the managed care information system
• Proficiency in using computer systems and software for documentation, communication, and other tasks
• Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment
• Skill in using a personal computer and various Microsoft applications, i.e., Microsoft Word, Excel
• Skill in working effectively with heavy telephone demands, frequent interruptions, and changing priorities
• Skill in working as part of a team, collaborating with co-workers, and provide back-up coverage when necessary
• Strong interpersonal, verbal, and written communication skills
• Ability to articulate thoughts and information clearly and succinctly in writing as well as verbally
• Excellent customer service providing caring, courteous service to members/patients, physicians, and staff
• Ability to communicate well providing timely and accurate information as needed
• Ability to work unit hours of 8:00am - 5:00pm PST
• Ability to work occasional overtime, when necessary
• Familiarity with EPIC Tapestry, CRM systems, and data entry