Remote Healthcare Customer Service Representative

Randstad Digital Americas is recruiting for a temporary healthcare customer service role supporting a national healthcare and dental benefits administrator during peak open enrollment. The representative will assist members and dental professionals, resolve eligibility, benefits, authorization, and claims inquiries, help members access care, and guide users across multiple service channels and digital tools.

Responsibilities:

• Serve as a primary point of contact for members and dental professionals, delivering accurate information on eligibility, benefits, authorizations, and claims payments across phone, email, web portal, and chat channels
• Assist members in accessing quality care by locating in-network dentists or coordinating assignments to primary care dental practices
• Resolve coordination of benefits and complex claim payment inquiries by analyzing patient activity, enrollment data, third-party liability, and attachments
• Guide customers and healthcare providers on how to effectively utilize self-service digital tools and resources

Requirements:

• High School Diploma paired with at least 2 years of experience in a high-volume customer service role
• Minimum 1 year of hands-on experience within the health insurance industry
• Healthcare System Navigation
• Basic Software Skills
• CRM
• Telephone Etiquette
• Years of experience: 2 years
• Experience level: Experienced