Description
We are seeking a Medical Customer Service Representative. This role involves engaging with customers in a healthcare context, providing solutions to their inquiries, and ensuring their satisfaction. This job opportunity offers a contract to permanent arrangement, giving the successful candidate an opportunity to work in a dynamic and fast-paced setting.
Responsibilities:
Address customer inquiries via phone and email, ensuring prompt and accurate responses.
Analyze and resolve requests from customers, including policyholders, beneficiaries, and healthcare providers.
Stay informed about changes in our healthcare plans and communicate necessary information to customers.
Manage customer complaints and troubleshoot issues in a detail oriented and polite manner.
Use our systems for tracking, information gathering, and troubleshooting, maintaining accurate customer records.
Collaborate with team members to ensure a smooth and efficient service.
Inform customers about pre-authorization for medical treatment, claim status, benefit information, and provider information.
Greet customers in a detail oriented manner, adhering to the suggested script.
Escalate complex queries or issues to your manager for further assistance.
Educate members and healthcare practitioners about the details of members' benefits.
Document and track all calls and interactions via our computer system.
Requirements
Minimum of 1 year experience in a customer service role
Proven experience in a Medical High Volume Call Center
Proficiency in using Microsoft Outlook
Experience or background in Health Care
Excellent communication and interpersonal skills
Ability to handle customer complaints and provide appropriate solutions
Strong problem-solving skills and the ability to think on your feet
High level of patience and empathy towards customers
Ability to work in a fast-paced environment
Willingness to work in shifts as customer service may require 24/7 support
High school diploma or equivalent; higher degree in a relevant discipline will be appreciated
TalentMatch®
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
