Customer Service Representative - Specialty Benefits Verification Specialist (Remote Texas)

At Continuum Global Solutions, our vision is to be the leader in customer experience by connecting the right people with innovative solutions to deliver outstanding results. We will empower and support our employees to reach unimaginable heights while growing our business to make a global impact. Our can-do culture works together to make the ordinary exceptional.

Are you a researcher who AIMS HIGHER.REACHES FARTHER when it comes to helping customers get their needs taken care of in a timely manner? Can you ACT BOLD.BE PASSIONATE with your impressive communication skills, empathy, and organization?  Can you BE ONE.HELP MANY in a way that provides a positive experience? Do you want to BE DIFFERENT.BE YOU and LEARN MORE.TAKE ACTION?

JOIN OUR TEAM TODAY!

We are hiring Customer Service Representatives – Specialty Healthcare Benefits Verification who will support customer’s specialty benefit verifications ensuring that customers are getting their crucial medications filled and shipped by the expected dates discussed. You do not need a background in healthcare or insurance, just a passion for learning and a desire to understand concerns, provide solutions, and make an impact on the lives of others.

RESPONSIBILITIES:

• Utilize multiple benefits verification tools using electronic healthcare record systems to locate benefits and run/adjudicate claims.
• Make outbound calls to contact doctor’s offices, insurance, and the patient (customer) to help process the specialty crucial medications to be filled and shipped to arrive on or by the expected dates discussed/needed (medications will be for rare and complex conditions such as cancer, fertility, etc.)
• Complete 80% of cases through back-office work and 20% inbound/outbound calls, back-office work may decrease and inbound/outbound calls may increase to meet the needs of the business
• Effectively handle incoming and outgoing calls to patients, clients, and other customers while proactively gaining patient and order information
• Empathize and converse with patients by building a rapport and discussing therapy changes on targeted medications.
• Navigate through multiple computer applications with speed & accuracy.
• Utilize and understand HIPPAA compliance, as well as ensuring that patients remain adherent to and compliant to their specific therapies.
• Adapt to learn new call types when business needs change & flex support in those areas.

WORK AT HOME REQUIREMENTS:

• High-speed internet with at least 25 mbps download speed (No Satellite, Wi-Fi, or Cellular/Wireless carrier hotspot or internet services) 
• Must have a hard-wired internet connection via ethernet cable to modem/router that you own/are responsible for. (Continuum will ship you company equipment such as the PC, mouse, keyboard, etc. to use on your network) 
• Dedicated, quiet, & secured workspace with no distractions 
• A USB Wired headset with noise canceling microphone. 

ADDITIONAL REQUIREMENTS:

• 18+ Years Old & High School Diploma/GED
• Knowledge with healthcare insurance, requirements for dispensing prescriptions, educating customers, and conducting routine assessment are a plus.
• Professional positive attitude & courteous telephone etiquette
• Customer focused personality & desire to help people
• Full-time schedule availability to meet business needs (may include weekends)
• Willing to submit a drug test and background check

BENEFITS & PERKS:

• $15 per hour
• Benefits Eligible After 60 Days
• Access Up To 50% Of Your Pay Immediately After Your Shift
• Health Insurance (Medical, Dental, Vision) & Other Benefits
• Pet Insurance
• Paid, Virtual Training
• Remote Work Environment
• Opportunity for Professional Development

Employees with six (6) months of service in their current position are eligible to apply for a new position for which they are qualified based on requisite skills, education, experience and current job performance. Employees with less than six (6) months of service may change positions before the six (6) month period if both the employee’s current manager and the manager of the open position agree and a transition date is agreed upon. New hire training time is not applied towards the six (6) months service requirement. Additionally, if an employee is currently on any type of performance improvement review, the employee will be considered ineligible for an open position.

Continuum Global Solutions partners with top companies around the world to deliver customer care services through its global network of contact centers. Our global Fortune 500 clients rely on our vast expertise in customer care management to improve their customers' experience. Continuum customer care and call center solutions leverage world-class voice, chat, email and social technologies. More than 11,000 employees serve top-tier clients across multiple industry verticals. Additional information on Continuum and our services can be found on our website.

Continuum is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, disability, military/veteran status, citizenship status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. Applicants have rights under Federal Employment Laws Family and Medical Leave Act (FMLA); Equal Employment Opportunity (EEO); Employee Polygraph Protection Act (EPPA).

Continuum recruiting correspondence will always come from a talent acquisition representative with an official @continuumgbl e-mail address. In addition, our representatives will never ask for any form of payment from a candidate or new hire. Please report suspicious activity to Corporate.Security@continuumgbl.com.