Remote Healthcare Customer Service Representative

A leading national healthcare and dental benefits administrator dedicated to improving oral health outcomes across diverse communities is seeking dedicated professionals to join their team. Representing a mission-driven organization that manages complex benefits programs, this temporary contract role is critical during peak open enrollment. You will serve as a vital liaison for both members and healthcare providers, ensuring seamless access to care, resolving complex inquiries, and delivering high-quality customer experiences across multiple service channels.

salary: $18 - $18.5 per hour
shift: First
work hours: 8 AM - 8 PM
education: High School

Responsibilities

What You'll Do: Daily Operations & Customer Engagement

• Serve as a primary point of contact for members and dental professionals, delivering accurate information on eligibility, benefits, authorizations, and claims payments across phone, email, web portal, and chat channels.
• Assist members in accessing quality care by locating in-network dentists or coordinating assignments to primary care dental practices.
• Resolve coordination of benefits and complex claim payment inquiries by analyzing patient activity, enrollment data, third-party liability, and attachments.
• Guide customers and healthcare providers on how to effectively utilize self-service digital tools and resources.

Expected Qualifications

• High School Diploma paired with at least 2 years of experience in a high-volume customer service role.
• Minimum 1 year of hands-on experience within the health insurance industry.

What’s in It for You

• Gain high-demand healthcare benefits experience working with a prominent industry leader during their most critical annual peak season.
• Enjoy the comfort and convenience of working 100% remotely.
• Schedule will vary based on team - 40 hour work week; Monday to Friday: 8:00 AM to 8:00 PM Saturday: 8:00 AM to 6:00 PM
• Earn a competitive hourly wage of $18.00/hr ($18.50 for spanish speaking candidates) with weekly pay stability.
• Benefit from a hassle-free onboarding experience with all necessary computer and technical equipment provided directly to you.

Skills

• Healthcare System Navigation
• Basic Software Skills
• CRM
• Telephone Etiquette

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.