Customer Service Representative - Specialty Benefits Verification Specialist (Remote North Carolina)

Raleigh, NC, US, 28269

Description: 

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 an 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 strong persuasion?  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 through the use of 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
  • Effectively handle incoming and outgoing calls to patients, clients, and other customers while proactively gaining patient and order information
  • Empathize and covnerse 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 tht patients remain adherent 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, Wifi, or Cellular/Wireless Carrier 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 to use)
  • Must Live in North Carolina
  • Dedicated, Quiet, & Secured Workspace with No Distractions
  • A USB Wired Headset with Noise Canceling Microphone   

 

ADDITIONAL REQUIREMENTS:

  • 18+ Years Old & High School Diploma/GED
  • 6+ months of customer service experience
  • 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
  • Full-Time Schedule Availability to Meet Business Needs (may include weekends)
  • Willing to submit a Drug Test and Background Check

 

BENEFITS & PERKS:

  • $15 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

 

 

About Continuum Global Solutions, LLC
Continuum Global Solutions’ customer care services and call centers have been embraced by top companies worldwide. The company's Fortune-500 clients rely on its vast expertise in customer care management. Continuum Global Solutions leverages world class voice, chat, email, and social technologies. Continuum has more than 16,000 employees in major international markets and serves tier-1 clients across multiple industry verticals. More information can be found at www.continuumgbl.com.

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.

 

 


Nearest Major Market: Charlotte