Concierge Customer Service Representative - Healthcare Industry Expert (Remote)

Join the MedWatch Team as a Concierge Customer Service Representative

Are you a passionate and driven individual with a strong background in customer service, particularly in the healthcare industry? Do you thrive in fast-paced environments and possess excellent communication skills? MedWatch, a leading company with over 35 years of experience in developing innovative solutions to address client needs, is seeking a talented Concierge Customer Service Representative to join our team remotely.

About MedWatch

At MedWatch, we pride ourselves on being a community of like-minded individuals who value innovation, collaboration, and quality care. For over three decades, we have partnered with clients to mitigate risk within plan populations and focus on improved outcomes, ultimately reducing healthcare expenditures. Our company culture emphasizes growth, learning, and teamwork, making us an attractive employer for professionals seeking a dynamic and supportive work environment.

Position Overview

As a Concierge Customer Service Representative at MedWatch, you will play a critical role in providing exceptional service to our members and providers. This position requires excellent customer interaction skills, versatility, and a strong ability to handle complex situations. You will be responsible for responding to inquiries, negotiating with providers, and assisting members with benefits and healthcare questions.

Key Responsibilities

• Respond to telephone and email inquiries received from members and providers within defined service standards
• Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
• Assist members with benefits and healthcare questions
• Document all calls received in system-based call log
• Perform other duties and responsibilities as needed, which may change with or without notice

Requirements and Qualifications

Education and Experience

• Minimum high school diploma or GED; 2 years of college or higher education preferred
• One year of customer service or call center experience in a healthcare-related role
• Medical intake or Third-Party Administrator (TPA) experience preferred
• Bilingual English-Spanish a plus

Skills and Competencies

• Patience and ability to handle difficult situations tactfully and diplomatically
• Strong customer relations and interpersonal skills
• Strong appreciation and ability to handle confidential and sensitive information
• Proficient with Microsoft applications and strong computer skills
• Excellent data entry and typing skills
• Knowledge of provider organizations and networks
• Understanding of CMS Medicare reimbursement rates and ability to effectively negotiate rate structures
• Takes initiative to resolve situations and accomplish projects, actions, and tasks
• Excellent verbal and written communication skills
• Independent judgment in decision-making and problem-solving
• Ability to multi-task and anticipate potential needs/problems
• Ability to build relationships with internal and external customers
• Medical terminology knowledge
• Strong attention to detail
• Understanding of self-funded health benefits a plus
• Claim processing skills a plus
• Insurance verification or pre-certification a plus

What We Offer

Compensation and Benefits

We offer a competitive salary ranging from $16.00 to $18.00 per hour, depending on experience. Our comprehensive benefits package includes:

• Paid Time Off
• Medical, Dental, and Vision insurance
• Short and Long-Term Disability
• Life Insurance and AD&D
• 401k with match
• Critical illness coverage
• Discount programs

Work Environment and Culture

As a remote employee, you will work in a typical office/home office environment, requiring prolonged sitting in front of a computer. We emphasize a culture of innovation, collaboration, and growth, providing opportunities for professional development and learning.

How to Apply

If you are a motivated and customer-focused professional seeking a rewarding role in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application through our website to take the first step towards a challenging and fulfilling career with MedWatch.

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Equal Opportunity Employer

MedWatch is an Equal Opportunity Employer, including disability/veterans. We welcome applications from diverse candidates and are committed to creating an inclusive work environment.