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Summary:
CAI, a company focused on advancing client success, offers the Customer Service Representative role. This remote position, based in North Carolina, supports providers with inquiries about behavioral and physical health services. With a 3+ month contract, CAI seeks individuals with healthcare customer service experience to enhance their team.
Responsibilities:
- Respond to provider questions, emails, and calls in a timely and professional manner.
- Assist with navigating and resolving a variety of issues, including claims and continuity of care.
- Work towards meeting and exceeding call center metrics as monitored by DHHS to avoid liquidated penalties.
- Manage a high volume of inbound and outbound calls with efficiency and courtesy.
- Maintain detailed records of interactions, transactions, and comments.
- Collaborate with Provider Relations and Contracts teams to ensure seamless service.
- Contribute to team efforts by accomplishing related results as needed.
Requirements:
- High school diploma or equivalent; higher education or certifications in healthcare or customer service preferred.
- Experience in a healthcare customer service call center setting.
- Strong communication skills, both verbal and written.
- Ability to handle stressful situations with patience and professionalism.
- Proficiency with computers and typical office software.
- Knowledge of healthcare systems and terminology is a plus.
- Flexibility to work holidays and extended hours as required by the Department.
- Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state and local standards.
- Must be able to communicate with customers/team members in English over the phone and in person.
- Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard and monitor.
- Candidates must reside within the state of North Carolina.
- Candidates must be able to work on CAI’s W2 without a need for sponsorship now or in the future.
