Customer Service Representative I - - Remote Nationwide, Bonus Eligible

Fidelis Care

Tucson Arizona

United States

Customer Service / Call Center
(No Timezone Provided)

*Applicants for this job have flexibility to work from home anywhere in the United States. This job is eligible for a $3,000 sign-on bonus.* 

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility

Make an impact: Our mission is to deliver world-class healthcare solutions to our communities every day. We need people driven to make a difference and ready to make an impact. People like you.

We are Centene Corporation, and we are working to transform the health of our communities, one person at a time. At Centene Corporation, you can take advantage of best-in-class technology and learning platforms, as well as flexible work solutions designed to meet the needs of our teammates and our members.

As part of our call center group, the member-focused support you deliver will make a difference and change the face of healthcare for Tucson. Are you ready to make an impact?

Who You Are:

You are a highly collaborative, strategic risk-taker driven to make a difference and change the face of healthcare. You thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth. Delivering patient-focused care while making a real impact is important to you – it is what sets you apart!

Who We Are:

We are revolutionizing the world of healthcare through digital transformation and building world-class healthcare solutions. Our high caliber teams deliver relevant solutions at the local level and use collective innovation to turn visions into action and challenge what is possible.

We are an industry leader with a local focus and a global vision:

  • Listed on Fortune magazine’s World’s Most Admired Companies List for 2nd consecutive year
  • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
  • Recognized as one of the Best Places to Work by the Human Rights Campaign Foundation
  • What You’ll Do:

  • Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner
  • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
  • Provide assistance to members and/or providers regarding website registration and navigation
  • Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
  • Process written customer correspondence and provide the appropriate level of timely follow up
  • May coordinate member transportation and make referrals to other departments as appropriate
  • Maintain performance and quality standards based on established call center metrics including turn-around times
  • Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
  • Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
  • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
  • Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development

  • High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.

    Customer Service Representative I - - Remote Nationwide, Bonus Eligible

    Fidelis Care

    Tucson Arizona

    United States

    Customer Service / Call Center

    (No Timezone Provided)

    *Applicants for this job have flexibility to work from home anywhere in the United States. This job is eligible for a $3,000 sign-on bonus.* 

    You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility

    Make an impact: Our mission is to deliver world-class healthcare solutions to our communities every day. We need people driven to make a difference and ready to make an impact. People like you.

    We are Centene Corporation, and we are working to transform the health of our communities, one person at a time. At Centene Corporation, you can take advantage of best-in-class technology and learning platforms, as well as flexible work solutions designed to meet the needs of our teammates and our members.

    As part of our call center group, the member-focused support you deliver will make a difference and change the face of healthcare for Tucson. Are you ready to make an impact?

    Who You Are:

    You are a highly collaborative, strategic risk-taker driven to make a difference and change the face of healthcare. You thrive in a supportive, result-oriented community and are committed to the relentless pursuit of continuous growth. Delivering patient-focused care while making a real impact is important to you – it is what sets you apart!

    Who We Are:

    We are revolutionizing the world of healthcare through digital transformation and building world-class healthcare solutions. Our high caliber teams deliver relevant solutions at the local level and use collective innovation to turn visions into action and challenge what is possible.

    We are an industry leader with a local focus and a global vision:

  • Listed on Fortune magazine’s World’s Most Admired Companies List for 2nd consecutive year
  • National footprint across all 50 states, serving 1 in 15 individuals in the U.S.
  • Recognized as one of the Best Places to Work by the Human Rights Campaign Foundation
  • What You’ll Do:

  • Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner
  • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
  • Provide assistance to members and/or providers regarding website registration and navigation
  • Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
  • Process written customer correspondence and provide the appropriate level of timely follow up
  • May coordinate member transportation and make referrals to other departments as appropriate
  • Maintain performance and quality standards based on established call center metrics including turn-around times
  • Ensure pharmacy orders and invoices are distributed appropriately to patients and physicians; input patient information into Customer Relationship Management application (CRM) and manage patient billing services
  • Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
  • Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
  • Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development

  • High school diploma or equivalent. Computer skills and ability to learn new systems. While previous customer service, call center, healthcare or insurance experience (and in some markets – bilingual skills) are preferred – they are not required. We will consider candidates who meet the education requirements and who share our passion for supporting the health and well-being of our communities.