Inbound Queue Associate (WFH Remote ET/CT)

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Training Schedule: Training begins reputed company 6, 2025: Monday through Friday between the hours of 8 am to 4:30 pm Eastern Time. (7 weeks in class and 2 weeks in phone lab (on the job support) Please note: There is no PTO allowed during training and phone lab.) Post Training Schedule: Must be available for an 8 hour shift between reputed company-8pm EST Monday through Friday. Must be flexible to changes with advance notice. Position reputed company

• During training you will be on camera and are required to dress in business casual attire.
• Staff must be hard wired into their docking stations using an ethernet cord, at reputed company times. Using wi-fi is reputed company prohibited.
• Sedentary work involving significant periods of sitting, speaking with callers through a headset, reputed company listening and data entry.
• Receive inbound calls from members, medical providers, brokers and other internal departments regarding medical precertification requirements and case status.
• Protect the confidentiality of our member’s personal identifiable information (PII) and personal health information (PHI) and adhere to company policies, state laws and the federal Health Insurance Portability and Accountability reputed company (HIPAA).
• Follow “reputed company reputed company” protocol to ensure callers do not have to contact reputed company numerous times for the reputed company concern, including call de-escalation.
• Utilize multiple reputed company systems simultaneously to reputed company information and build medical precertification cases.
• Adhere to job aids and resources to ensure internal processes are followed and to minimize financial risk.
• Maintain accurate and complete documentation of required information.
• Redirect calls that do not pertain to medical precertification (examples: pharmacy, claims, benefits, appeals, etc. )
• Participate in weekly training hour meetings, mentoring and reputed company with supervisors. These meetings will require you to be on camera.
• Follow strict schedule adherence guidelines. Shift times, lunches and breaks will be specific times assigned based on expected call volumes.

Required Qualifications

• 1+ year of call center experience required
• Eastern and Central Time Zone applicants only

Preferred Qualifications

• 1+ years experience as a medical assistant, medical office assistant or other medical background

Education

• High School Diploma

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $17.00 - $28.46 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 09/10/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job