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Clinical Customer Service Representative - Remote Opportunity with American Specialty Health

100% Remote Full-time Open now

Join Our Innovative Team and Make a Difference in Healthcare

American Specialty Health (ASH) is a leading company in the healthcare industry, dedicated to empowering individuals to live healthier and longer lives. We're now seeking a highly skilled and compassionate Clinical Customer Service Representative to join our dynamic team in a remote capacity. As a key member of our high-volume call center, you'll play a vital role in delivering exceptional customer service to our members nationwide, addressing their inquiries, and providing support for our specialty network programs.

About Our Company and the Role

At ASH, we're committed to fostering a supportive and forward-thinking environment that encourages growth and innovation. As a Clinical Customer Service Representative, you'll be the primary point of contact for our members, providing them with accurate and timely information regarding their association with ASH. This role requires a unique blend of clinical knowledge, customer service expertise, and technical skills, making it an exciting opportunity for individuals who are passionate about delivering high-quality care and support.

Key Responsibilities

  • Answer incoming calls in a professional, accurate, timely, and courteous manner, ensuring a positive experience for our members.
  • Ascertain the nature of the call and record information in the Communication Log, utilizing our proprietary ASH systems.
  • Look up member information and provide relevant details to the caller, addressing their inquiries and concerns.
  • Forward logs requiring further research to the appropriate department, ensuring seamless issue resolution.
  • Transfer callers to the appropriate queue if the issue is complex, such as claims or authorizations.
  • Utilize online resources to provide timely and accurate responses to member inquiries.
  • Manage your time effectively to ensure calls are answered within required timeframes and follow-up actions are completed in a timely manner.
  • Meet or exceed minimum key job accountabilities established for the Customer Service Representative position.
  • Document all calls appropriately, maintaining accurate records and ensuring compliance with regulatory requirements.
  • Attend weekly staff meetings and other meetings as required, contributing to team discussions and fostering a collaborative environment.
  • Respond to requests from internal and external customers, providing support and resolving issues in a professional and courteous manner.

Essential Qualifications

To succeed in this role, you'll need:

  • A High School Diploma or equivalent.
  • A minimum of one year of experience in customer service, preferably in an inbound call center environment.
  • Basic computer skills and proficiency in using proprietary systems.
  • Strong verbal communication skills, with the ability to interact positively and respectfully with members and internal stakeholders.

Preferred Qualifications

While not mandatory, the following qualifications can enhance your candidacy:

  • Previous experience in a clinical or healthcare setting.
  • Familiarity with medical terminology and healthcare concepts.
  • Experience working with diverse populations and addressing complex customer inquiries.

Core Competencies

To excel in this role, you'll need to demonstrate:

  • Excellent customer service skills, with a focus on meeting the needs and expectations of both internal and external customers.
  • Strong listening and interpersonal communication skills, with the ability to identify critical issues and develop effective solutions.
  • The ability to organize, prioritize, multi-task, and manage your time effectively in a fast-paced environment.
  • Accuracy and productivity in a changing environment with constant interruptions.
  • The ability to analyze information, problems, and issues to develop effective solutions.
  • Strict confidentiality in all matters, maintaining the trust and confidence of our members and internal stakeholders.

Career Growth Opportunities and Learning Benefits

At ASH, we're committed to supporting the growth and development of our employees. As a Clinical Customer Service Representative, you'll have access to:

  • Ongoing training and development programs, enhancing your clinical knowledge and customer service skills.
  • Opportunities for career advancement, with a clear path for progression within the company.
  • A collaborative and supportive work environment, fostering a culture of teamwork and innovation.

Work Environment and Company Culture

As a remote employee, you'll work from a designated home office, utilizing company-provided technology equipment. Our remote work environment is designed to promote flexibility, productivity, and work-life balance. We're committed to maintaining a culture that is inclusive, supportive, and respectful, with a focus on delivering exceptional customer service and driving business success.

Compensation, Perks, and Benefits

We offer a competitive compensation package, with:

  • A starting salary of $15/hour, with the potential to increase to $16/hour within the first year, based on performance.
  • Merit-based pay increases, recognizing your hard work and dedication.
  • Additional bonus opportunities, tied to meeting key job accountabilities and performance targets.
  • A comprehensive benefits package, including opportunities for growth and development.

Why Join Us?

If you're a motivated and compassionate individual with a passion for delivering exceptional customer service, we invite you to join our team. At ASH, we're committed to making a difference in the lives of our members, and we're looking for talented professionals like you to help us achieve our mission.

Apply today and let's build the future together!

Apply for this job

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