[Remote] Healthcare Customer Service Advocate (Remote)
Note: The job is a remote job and is open to candidates in USA. System One is a leader in delivering outsourced services and workforce solutions across North America. They are seeking a Healthcare Customer Service Advocate II to support customers in a fast-paced call center environment, handling inquiries related to benefits, claims, eligibility, and billing while providing excellent customer service.
Responsibilities
- Answer inbound calls from customers and business partners regarding:
- Plan/product information and benefits
- Claims questions and first-level claims research
- Eligibility and billing inquiries
- Provide first-level issue resolution by gathering details, researching accounts, and confirming accuracy in the system
- Explain benefit usage, limitations, and relevant plan details in an easy-to-understand way
- Document every interaction accurately in the system according to required guidelines
- Provide basic technical support/troubleshooting for online portals, digital tools, and electronic applications
- Prioritize tasks and multitask efficiently (calls + multiple screens/systems) while meeting quality and performance goals
- Identify underlying needs and guide customers to the right resources, programs, or services
- Participate in ongoing training to stay current on services, updates, and best practices
Skills
- High School Diploma or GED
- 3+ years of customer service experience
- Call center experience
- Strong empathy and ability to build trust quickly with customers
- Strong PC navigation and data entry skills; comfortable working across multiple applications
- Clear verbal and written communication skills
- Health insurance / health plan / healthcare customer service background
- Experience supporting benefits, claims, eligibility, and billing questions
Benefits
- Remote work model
- Supportive training and ongoing learning
- Opportunity to convert to a permanent role based on performance and business need
- Health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan
Company Overview