Provider Customer Service Call and Chat Representative - Remote in EST CST CDT and MST
Provider Customer Service Call and Chat Representative - Remote in EST CST CDT and MST
Posted on :
20-05-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
20-05-2025
Job Description
Ready to make a difference Join us to start Caring. Connecting. Growing together.
This position is fulltime 40 hours / week) Monday Friday. Employees are required to have flexibility to work any of our 8hour shift schedules during our normal business hours of : 8am 4pm EST 8 hour shift within). It may be necessary given the business need to work occasional overtime weekends and / OR some holidays.
We offer 11 weeks of paid training. The hours during training will be 8:00am 4:00pm CDT from Monday Friday (subject to change based on trainer availability). 100 attendance is a must during training period. Training will be conducted virtually from your home.
If you are located within Eastern Central and Mountain Time zones you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues
- Service Providers in a multichannel environment including call dual chats and email as required.
- Quickly and appropriately contacts from college professionals (i.e. head offices billing offices)
- Seek to understand and identify the needs of the provider answering questions and resolving issues (e.g. benefits and eligibility billing and payments clinical authorizations explanation of benefits behavioral health)
- Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages escalations and provider dissatisfaction
- Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
- Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C and amp;S M and amp;R E and amp;I) provider types and call types
- Influence providers to utilize selfservice digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1 years of customer service experience analyzing and solving customers concerns
- Experience with computer and Windows PC applications which includes the ability to navigate and learn new and complex computer system applications
- This position involves handling provider calls or concurrent chats with an expected volume of 50 70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts except for scheduled breaks and lunch periods
- Available to work fulltime 40 hours/week) Monday Friday for any hours between 8am 4pm EDT 8 hour shift within). It may be necessary given the business need to work some holidays weekends and/or overtime as business needs require
Preferred Qualifications:
- Experience in a related environment (i.e. office call center customer service etc. using phones and computers as primary job tools
- Education experience
- Presently employed within UHC Operations and amp; Experience. (Also known as UHC Benefit Operations. Use Sparq to confirm your alignment in 3 quick steps: 1 From the Sparq Homepage click My Profile. 2 Click Organization Chart. 3 Look upward on the org chart to confirm that you report through Mike Baker)
Telecommuting Requirements:
- Reside within Eastern Central and Mountain Time zones
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Soft Skills:
- Proficient in multitasking including managing multiple conversations simultaneously
- Skilled in quickly resolving calls and messages effectively preventing escalated complaints
- Strong time management skills
- High emotional intelligence and empathy
- Excellent active listening and comprehension abilities
- Exceptional written communication skills
- Demonstrated problemsolving organizational and interpersonal skills
- Proven track record of consistently achieving quality and productivity standards
- Typing Speed is greater than or equal to 3540 WPM with accuracy of 90
- All employees working remotely will be required to adhere to JKKN Policy.
The hourly range for this role is $19.88 to $33.22 per hour based on fulltime employment. Pay is based on several factors including but not limited to local labor markets education work experience certifications etc. JKKN Institutions complies with all minimum wage laws as applicable. In addition to your salary JKKN Institutions offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with JKKN Institutions youll find a farreaching choice of benefits and incentives.
At JKKN Institutions our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race gender sexuality age location and incomedeserves the opportunity to live their healthiest life. Today however there are still far too many barriers to good health which are disproportionately experienced by people of color historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
JKKN Institutions is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race national origin religion age color sex sexual orientation gender identity disability or protected veteran status or any other characteristic protected by local state or federal laws rules or regulations.
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Employment Type
Full Time
Key Skills
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