Job Title: Customer Service Representative
Location: Remote
Fulltime opportunity
Pay: $18/hr plus fulltime benefits

Job Description:
As Customer Service Representative, you’ll provide our members with the information they need to make better decisions about their health, helping them get access to the right care the first time. Every day, you'll help 50 to 70 callers, in a compassionate and empathetic manner, providing guidance, support, and escalating issues. This is your chance to be a sought out as an advisor, advocate to your customer, exceed expectations and improve the lives of our customers every day.

Primary Responsibilities:
• Understands the sensitivity and importance each call scenario presents and handles difficult situations diplomatically and with a professional demeanor
• Actively listens to understand the perspective of others
• Proactively identifies and pursues resolution of issues affecting customer service
• Receive, document, confirm, and resolve/route member, broker, and customer service issues to the appropriate cross-functional team for resolution
• Responds to incoming, telephonic, written or email inquiries from customers or providers regarding eligibility, benefits, claim status/issues, policies & procedures, reimbursement, claims filing and/or appeals/grievances
• May leverage service resources throughout to effectively warm transfer calls to the appropriate area
• Meets or exceeds standards for accessibility, responsiveness, reliability and professionalism
• Meets or exceeds standard for productivity, quality, timeliness and accessibility
• Independently manages inquiry caseload to resolve inquiries in a timely, high-quality manner
• Contributes to high levels of member and client satisfaction by exhibiting timely responds to questions or issues, well developed communication skills and analytical approach to problem solving
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to the caller’s health, status and potential plan Eligible to workions. To do this, you’ll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
• High School Diploma / GED OR equivalent work experience
• 1+ years of Customer Service Experience
Preferred Qualifications:
• 2+ years’ industry experience in health care, preferably in a service role
• 1+ years of experience in a call center environment
• Data entry experience
• Experience with OnBase
• Experience with LeaveSource
• Experience with Microsoft Office

Telecommuting Requirements:
•Ability to keep all company sensitive documents secure (if applicable)

Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.

Customer Service Representative

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