Call Center Representative (Medical/ Insurance Experience Preferred)

Job description

**Position Overview:** We are seeking a customer-focused **Call Center Representative** to join our team. This role is responsible for handling high-volume inbound and outbound calls, assisting patients, members, or providers with questions, and delivering an excellent customer experience. Candidates with **medical, healthcare, or health insurance experience** are preferred but not required. **Hours: Monday-Friday 8am-5pm** ### Responsibilities: - Answer high-volume inbound calls and make outbound calls as needed. - Assist patients/members with inquiries related to: - Benefits, eligibility, and coverage - Claims status and billing questions - Provider information and referrals - Appointment scheduling and general support - Accurately document all interactions in CRM or healthcare systems. - Verify insurance and demographic information. - Provide clear explanations of policies, procedures, and next steps. - Escalate complex or sensitive issues to appropriate teams. - Maintain confidentiality and comply with HIPAA and company policies. - Meet or exceed call center performance metrics (quality, productivity, attendance). - Collaborate with internal teams to resolve customer concerns quickly and efficiently.