Job Title
Call Center Representative (CSR)
Base Pay Range
$15.00/yr - $18.00/yr
Location
100% Remote in Maryland
Contract
3-Month Contract + Rolling Extensions; Long‑Term Project
Job Summary
The Customer Service Representative (CSR) interacts with customers to handle inquiries, concerns, and requests about products and services across multiple lines of business. The CSR projects a professional company image, delivers superior customer service, and ensures accurate information is communicated through customer contact channels (phone, email, chat, and web portal).
Primary Responsibilities
Assist providers by resolving coordination of benefits inquiries, including enrollment, third‑party liability, and claims attachments.
Interpret and communicate accurate insurance coverage by understanding all processes and systems.
Document all customer interactions thoroughly and completely.
Educate customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Provide direction on using and understanding self‑service tools.
Assist members in locating network dentists or assigning primary care dentists.
Appropriately route inquiries beyond scope to the correct department.
Research and resolve claim payment inquiries and ensure timely follow‑up and resolution.
Maintain compliance with client policies and service standards.
Suggest process improvements and contribute to team success.
Job Requirements
Education: High School Diploma or equivalent.
Experience: 2 years in a high‑volume call center environment; 1 year in the health insurance industry.
Technical Skills: Proficient in Microsoft Office and multiple software systems simultaneously; ability to troubleshoot and set up computer equipment with minimal assistance.
Soft Skills: Strong written and verbal communication; high attention to detail, organizational ability, and teamwork; adaptable to a fast‑paced production environment; excellent critical thinking and problem‑solving skills.
Preferred
Medical/Dental terminology familiarity.
Medicare/Medicaid and claims/billing experience.
Experience with Cisco phone systems.
Bi‑linguistic (Mandarin or Spanish).
Work Details
Schedule: Monday–Friday, 6:00 AM – 7:00 PM CST (8‑hour shifts within this window).
Training and Onboarding Timeline: Classroom training (8:30 AM – 5:00 PM CT).
Seniority Level
Associate
Employment Type
Contract
Job Function
Customer Service
Industries
Insurance
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