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Healthcare Customer Service Representative
Resolv Global. Provide prompt, courteous support to health plan members and representatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills by providing accurate information and support to health plan members while adhering to HIPAA compliance. Proficient in data entry and communication, with the ability to manage competing demands in a fast-paced environment.
Highest-signal resume keywords
Bilingual In English And SpanishInbound Contact Center ExperienceData-Entry SkillsHIPAA ComplianceMicrosoft Teams
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data-Entry SkillsCustomer ServiceHIPAA ComplianceInbound Call HandlingTransportation Services Knowledge
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyPatienceProfessionalism
Tools & Technologies
Microsoft TeamsMicrosoft OutlookMicrosoft WordWindows 11Webcam
Industry Keywords
Health PlanProtected Health Information (PHI)Compliance RequirementsCustomer SupportFast-Paced Environment
About the role
Key responsibilities & impact- Provide prompt, courteous support to health plan members and representatives
- Answer inbound calls from health plan members and representatives
- Listen carefully to understand customer needs and respond professionally
- Provide accurate information and assistance regarding available transportation services
- Handle customer questions and concerns with patience, empathy, and professionalism
- Enter and maintain accurate customer information and data
- Meet established performance and quality expectations
- Follow HIPAA and compliance requirements when handling protected health information (PHI)
- Escalate transportation or customer service concerns to the appropriate leadership team
- Participate fully in required training and coaching
- Complete required compliance and training courses
- Maintain professional conduct and appearance during training and ongoing coaching
- Participate on camera during required training and meeting sessions
Requirements
What you’ll need- Minimum 6 months of inbound contact center experience OR transferable healthcare experience
- Fully bilingual in English and Spanish
- Excellent verbal and written communication skills
- Strong data-entry skills and attention to detail
- Ability to adapt to a fast-paced call environment
- Comfortable handling difficult or emotional customer situations
- Professional and courteous communication style
- Ability to work independently and manage competing demands
- Moderate experience with Microsoft Teams, Outlook, and Word
- Must maintain a professional appearance and demeanor
- Must be available to be on camera during training and required meetings
- Must meet attendance and punctuality expectations
- Must have a download speed of approximately 80-100 Mbps
- Must have an upload speed of approximately 12-20 Mbps
- Must have a quiet, distraction-free workspace during scheduled working hours
- Must have no conflicting responsibilities that would interfere with scheduled work hours
- Must provide their own equipment to perform the job
- Windows 11 PC (Mac not supported)
- 16 GB RAM
- Dual monitors
- Webcam and wired USB headset
- i5 processor or higher
- Fibre internet with a wired connection (Ethernet cable)
- Backup power solution
- All resumes must be submitted in English
- Must complete every stage of the hiring process, including resume review, pre-screen questionnaire, one-way video interview, pre-screen interview, and background check
Benefits
Comp & perks- Paid weekly in arrears
- Fully Remote; Work From Home in Mexico