Remote Healthcare Customer Service Rep - NORTH CAROLINA ONLY!


Call Center and Customer Service

Advert ID




Job Type




Salary Range

Based on Experience

No. of Openings


Branch Information

Raleigh - Durham NC Area - (USA) 430 Davis Drive Suite 100 NC Morrisville , NC 27560 Phone : 855-591-7454



Job Description

Do you have experience working within a healthcare insurance call center environment?!

If so, Manpower is looking for you to join a great client of ours in the Durham, NC area! This is a REMOTE position BUT you must reside in NORTH CAROLINA.

Pay: $18.17

Training Hours: M-F 8am-5pm

After Training Hours: Open 7 days a week, 5-day work schedule, 8am-8pm. Includes some Holidays.


Job Description:

Act as a solution-focused, service advisor for client customers, employer groups and providers, with the ability to successfully service more complex healthcare insurance needs.


*Successfully able to understand and communicate complex concepts to members, providers and colleagues in verbal and written form.

*Support and be committed to the mission, vision and values of the company by delivering seamless, energetic and innovative service solutions to increase stakeholder satisfaction and retain customers.

*Utilize probing and creative problem solving as well as critical thinking and the ability to analyze more complex and ambiguous information to resolve customer inquiries on first contact. Document corrective measures and provide instructions as needed to internal business areas to ensure prompt resolution and response to customer inquiries.

*Ensures final disposition of each inquiry in a timely manner while systematically documenting detailed customer information relevant to each customer contact. Provides instructions as needed.

*Identify and obtain information and records from customers, members, providers and/or employer groups to correct/update information, claims and membership records when necessary.

*Recognize patterns of inconsistent and/or inaccurate claims filing practices among customers and providers, educate customers and providers on acceptable client practices and policies.

*Perform phone/email outreach to client vendors and business partners to resolve service issues.

*Identify, understand and anticipate customers' unexpressed needs and concerns in a caring manner.

*Work collaboratively with Sales, Healthcare and Network Management partners to further optimize customer, employer group and provider relations by identifying opportunities to promote stakeholder programs.

*Educate and encourage customers on use of alternative delivery channels (i.e. self service, web).

*Identify and communicate process, product or systems improvement opportunities to improve the overall stakeholder experience.

Hiring Requirements:

*Bachelor's degree with 1 year experience in a customer service solutions-oriented environment.

*If no degree, high school graduate or GED and 4 years' experience in a customer service solutions-oriented environment.

*Doctor office or Hospital experience REQUIRED

*Ability to act quickly and multi-task, especially navigating between systems

*Experience with researching information

Hiring Preferences:

*Customer Service experience in healthcare environment

*Medicare knowledge HIGHLY preferred

*Knowledge of databases: Sharepoint, Business Objects, Access

*Analytical and problem-solving skills to resolve customer issues

*Ability to navigate multiple systems while speaking with customers

*Strong written and verbal communication

*Time-management skills and ability to work in a fast-paced environment

*Committed to provide superior quality customer service

Apply today and hear from a recruiter from our office!