[Remote] Remote Healthcare Customer Service Representative

Note: The job is a remote job and is open to candidates in USA. Conduent is a company that delivers mission-critical services and solutions for Fortune 100 companies and governments. They are seeking a Remote Healthcare Customer Service Representative to assist with healthcare-related calls, providing support and solutions to customers regarding dental benefits and eligibility. Responsibilities Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals Achieve all assigned individual monthly performance metrics Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates Perform additional duties and responsibilities as assigned by management Skills Successfully complete customer service assessment & typing test High school diploma, GED, or college degree At least 1 year of Call Center experience preferred 1 year of face-to-face customer service experience Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer Effective communication skills over the phone Ability to deal with problems involving several concrete variables in standardized situations Successful completion of background check is required for this position Must have a home internet connection of 10 Download and 3 Upload Speed Must be able to hardwire your work computer directly to your home modem via ethernet Must have a distraction free and secure work environment At least 1 year of Call Center experience preferred Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred Benefits Medical, dental and vision benefits are available on the 1st day of employment. Paid time off is accrued after 180 days (about 6 months) of employment. Health insurance coverage Voluntary dental and vision programs Life and disability insurance A retirement savings plan Paid holidays Paid time off (PTO) or vacation and/or sick time Company Overview Conduent delivers digital business solutions and services spanning the commercial, government and transportation spectrum – creating valuable outcomes for its clients and the millions of people who count on them. It was founded in 1998, and is headquartered in Irvine, California, USA, with a workforce of 10001+ employees. Its website is