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Everise

Healthcare Customer Service Representative

Everise

. Answer inbound phone calls for clients’ healthcare members .

Posted 10/19/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong decision-making and analytical abilities while effectively managing high volumes of inbound calls in a healthcare environment. Proficient in utilizing multiple systems to assess customer needs and provide accurate information about healthcare benefits and services.

Highest-signal resume keywords
Healthcare Background ExperienceMedical Terminology ProficiencyStrong Decision-Making AbilitiesCustomer Satisfaction CommitmentSchedule Flexibility

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Call DispositionCustomer Needs AssessmentOne-Call ResolutionProcess Improvement IdentificationMultiple Systems Navigation
Soft Skills
Team PlayerIntegrityAnalytical AbilitiesCommunication SkillsAdaptability
Tools & Technologies
Wired Ethernet ConnectionHeadset
Certifications & Qualifications
High School Diploma or GED
Industry Keywords
Healthcare BenefitsCustomer ServiceInbound CallsPerformance MetricsBackground Check

About the role

Key responsibilities & impact
  • Answer inbound phone calls for clients’ healthcare members
  • Answer questions related to healthcare benefits
  • Professionally handle a high volume of incoming calls
  • Gather customer information, assess and fulfill customer needs, and educate customers about products and services
  • Resolve customer issues using one-call resolution guidelines and/or escalation processes
  • Meet or exceed company and client performance metrics
  • Balance company policy and client benefit in decision-making
  • Identify process improvement opportunities benefiting clients and customers
  • Complete call disposition and compile and document customer information as required
  • Accept and embrace changes in the business environment

Requirements

What you’ll need
  • High school diploma or GED
  • Ability to pass a drug screen and background check
  • Healthcare background experience is a plus
  • Comfortable with medical terminology
  • A dedicated work area free from distractions and background noises
  • Wired Ethernet connection with 50 Mb/s download and 10 Mb/s upload speeds; wireless access is not permitted
  • Ability to utilize and navigate multiple systems simultaneously
  • Must be flexible to work weekends and holidays
  • Schedule flexibility including weekends, evenings, possible holidays, and occasional overtime
  • Strong decision-making and analytical abilities
  • Ability to identify customer needs and articulate products and services
  • Highly developed sense of integrity and commitment to customer satisfaction
  • Meet all attendance and dependability requirements
  • Be a team player
  • Must purchase a headset; specific models shared during interview

Benefits

Comp & perks
  • Additional cash incentives to reach goals in addition to base pay
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401K benefits
  • Earned PTO
  • Everise provides one 21” monitor
  • Everise supplies keyboard
  • Everise supplies mouse
  • Everise supplies webcam