Customer Service Representative (Call Center)

Apply Job Type Full-time Description REMOTE - TX Training Class begins September 28th Overview 6 Degrees Health is a healthcare cost containment company dedicated to achieving superior results while prioritizing a best-in-class customer and member experience. We leverage both clinical expertise and innovative technology to deliver fair reimbursements and enhance payment accuracy. With positive change comes growth, so we are currently seeking a Customer Service Representative to join our fun, fast-paced team. Role Summary Call Center Customer Service Representative The Customer Service Representative is responsible for contacting providers and resolving potential overpaid claims for medical, dental and long-term care providers on behalf of insurance clients that APU represents. This position is primarily an outbound calling role in a fast-paced working environment. Our culture is built on being polite, persistent, and proactive, and any candidate seeking a job at 6 Degrees Health must adopt these core principles. Essential Role Responsibilities Politely and effectively communicates with medical, dental, and long-term care providers regarding identified insurance overpayments. Persistent at problem solving and escalating appropriately. Proactively making contact and responding both verbally and in writing with providers. Responsible for maintaining and accurately updating in the operating system, to include points of contact, adding or creating notes, recovery stages, etc. Perform administrative duties to include creating notes, researching overpayments, sending emails/faxes, etc. Basic level of policies & procedures Positively respond to coaching, mentoring and feedback. Ability to work in a fast-paced and team environment. Achieve daily, weekly, and monthly recovery goals and metrics Minimum Role Requirements Ability to perform the essential job functions Professionalism Communication Proficiency – written and verbal communication Customer/Client Focus Problem Solving/Analysis Able to multitask Teachable Committed to the mission of the company Dedicated to the core values of the company Essential Role Functions Must have the ability to read and understand various process flows and procedures Strong internal and external communication skills, both verbal and written Must be willing and able to work a 5-day schedule and additional hours beyond regularly scheduled shift to cover vacancies, if necessary Must be able to sit or stand for two hours at a time. This position requires sitting over 66% of the time. This position requires Visual Acuity at 20 inches (or less) over 66% of the time Must be able to operate computers and phones to support position requirements Strong Microsoft Office Skills are a must Required Education and Experience High School Diploma or equivalent. Possess excellent computer skills Possess excellent interpersonal skills, oral and written communication skills Be able to work independently Be detail oriented, accurate and precise in completing the tasks associated with the position Intermediate Windows & MS Office Skills are mandatory. Preferred Education and Experience Experience in processing Long Term Care/Medical/Medicare/Medicaid/Dental or some type of insurance billing or auditing. Call center experience Customer service experience Have Mainframe, “green screen” experience or similar systems Supervisory Responsibility This position has no supervisory responsibilities. Organizational Benefits Medical, Dental, Vision and Other Outstanding Ancillary Benefits Training and Development Opportunities 9 Paid Holidays 401k Program with 3% employer match Remote Work Opportunities Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa. The base salary range for this position is between $18.00 and $24.00 annually, plus benefits. Please note that the base salary range is a guideline, and that individual compensation will vary based on factors such as overall qualifications, skillsets, competencies, and work location. At 6 Degrees Health, we understand that an outstanding team is the building block of any organization. With a solid foundation, achieving our goals becomes a reality. We are dedicated to creating a safe and inclusive environment for our employees, and those in our communities, and we believe that our community is stronger when everyone is included and appreciated. We are committed to learning, listening, and improving, while celebrating the diversity and humanity of all people. We are committed to providing opportunities for engagement in decision making and ensuring safe transparency to express and challenge ideas. 6 Degrees Health, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Requirements Applicants must reside in the state of Texas Salary Description $18.00 per hour