This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Customer Care Associate based in United States.
This role plays a key part in supporting individuals as they navigate complex healthcare questions, providing clear, accurate, and compassionate assistance through inbound and outbound communication. It is a frontline customer support position focused on delivering high-quality service, resolving inquiries, and ensuring members receive the right information and follow-up support. The environment is fast-paced, detail-oriented, and centered on empathy, clarity, and consistency. You will work within a structured team setting where training, guidance, and continuous development are provided to help you succeed. The role requires strong communication skills and the ability to manage sensitive information with professionalism. It offers the opportunity to make a meaningful impact by helping individuals better understand and access healthcare services.
Accountabilities
- Handle incoming member calls to provide clear explanations of healthcare benefits, services, and provider options.
- Resolve customer inquiries by researching issues, identifying needs, and determining appropriate solutions or referrals.
- Conduct outbound follow-ups to provide updates, gather additional information, or complete case resolution.
- Maintain accurate and up-to-date member records, including demographic and interaction details in internal systems.
- Ensure all interactions and processes comply with healthcare regulations and internal policies, including HIPAA and COBRA requirements.
- Collaborate with internal teams and external partners by routing or transferring inquiries appropriately.
- Deliver consistent, high-quality service while maintaining professionalism and empathy in every interaction.
Requirements
- Minimum 1 year of customer service experience, preferably in a healthcare or service-driven environment.
- Strong verbal and written communication skills with the ability to explain complex information clearly.
- Excellent attention to detail and strong organizational skills to manage multiple member requests.
- Proficiency in Microsoft Word, Excel, and standard customer service or call documentation systems.
- Ability to learn quickly and adapt to healthcare systems, processes, and regulatory requirements.
- Strong problem-solving skills with a focus on accuracy and customer satisfaction.
- Ability to work independently while following structured procedures in a fast-paced environment.
Benefits
- Remote work opportunity.
- Comprehensive onboarding and training, including necessary equipment to support success.
- Competitive hourly compensation starting around $16.50, with additional benefits.
- Medical, dental, and vision insurance coverage.
- 401(k) retirement plan with company match.
- Paid time off and paid holidays.
- Tuition assistance and ongoing learning opportunities.
- Career development pathways with internal growth and promotion opportunities.
- Supportive team culture focused on empathy, service excellence, and continuous improvement.