Remote Healthcare Customer Service Representative

A leading national healthcare and dental benefits administrator dedicated to improving oral health outcomes across diverse communities is seeking dedicated professionals to join their team. Representing a mission-driven organization that manages complex benefits programs, this temporary contract role is critical during peak open enrollment. You will serve as a vital liaison for both members and healthcare providers, ensuring seamless access to care, resolving complex inquiries, and delivering high-quality customer experiences across multiple service channels.

salary: $17.99 - $18 per hour
shift: First
work hours: 8:30 AM - 5 PM
education: High School



Responsibilities

What You'll Do: Daily Operations & Customer Engagement

  • Serve as a primary point of contact for members and dental professionals, delivering accurate information on eligibility, benefits, authorizations, and claims payments across phone, email, web portal, and chat channels.
  • Assist members in accessing quality care by locating in-network dentists or coordinating assignments to primary care dental practices.
  • Resolve coordination of benefits and complex claim payment inquiries by analyzing patient activity, enrollment data, third-party liability, and attachments.
  • Guide customers and healthcare providers on how to effectively utilize self-service digital tools and resources.
Expected Qualifications

  • High School Diploma paired with at least 2 years of experience in a high-volume customer service role.
  • Minimum 1 year of hands-on experience within the health insurance industry.
What’s in It for You

  • Gain high-demand healthcare benefits experience working with a prominent industry leader during their most critical annual peak season.
  • Enjoy the comfort and convenience of working 100% remotely.
  • Schedule will vary based on team - 40 hour work week; Monday to Friday: 8:30 AM to 5:00 PM PST 
  • Earn a competitive hourly wage of $18.00/hr with weekly pay stability.
  • Benefit from a hassle-free onboarding experience with all necessary computer and technical equipment provided directly to you.

Skills

  • Healthcare System Navigation
  • Basic Software Skills
  • CRM
  • Telephone Etiquette

Qualifications

  • Years of experience: 2 years
  • Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.



Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.




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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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