Medical Customer Service Representative
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
Title: Customer Experience Associate I
Location: Remote
Compensation: $20-$22 an hour on W2
Duration: 6 Months
Job Profile Summary Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers' needs on the first call. Performance expectations are to meet and/or exceed customers' expectations and our quality standards.
Job Description
• Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI)
• Meets key performance indicators and service standards while showing compassion to members and providers per values and mission
• Identifies and responds to crisis calls with appropriate resource
• Facilitates routine referrals and triage decisions not requiring clinical judgment
• Comprehensively assembles and enters patient information into the appropriate delivery system
• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help achieve its business and operational goals
• Supports team members and participate in activities to help build a high-performance team
• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal)
• Responsible for staying abreast of operational changes, updating self to ensure accuracy
• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies
• Leads or participates in activities as requested that help improve Care Center performance, quality, and culture
• Navigate systems, document customers' comments/information and forwards required information
• Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information
Company DescriptionThe mission of netPolarity is to be a leading full-service global supplier of workforce procurement solutions. We empower and enrich the lives of everyone we touch by “bridging the gap” between world class organizations and contingent workers.
Our vision is building a brand based on integrity, reliability, quality and professionalism; and to be the first supplier that clients think of when the best talent is needed as well as the employer of choice for contingent workers. Our name is synonymous with the best service offerings in the industry.
What We Stand For
netPolarity is built on a set of everlasting concrete values. We pride ourselves on exceeding both our clients’ and our contingent workers’ expectations, without ever compromising our core beliefs. Here are the values and commitments that we proudly stand by.
Integrity
We deliver what we promise. There is nothing more important to us than our word. Our reputation speaks for itself.
Ethics
We commit to maintaining the highest ethical standard in a Apply tot his job
Location: Remote
Compensation: $20-$22 an hour on W2
Duration: 6 Months
Job Profile Summary Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers' needs on the first call. Performance expectations are to meet and/or exceed customers' expectations and our quality standards.
Job Description
• Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI)
• Meets key performance indicators and service standards while showing compassion to members and providers per values and mission
• Identifies and responds to crisis calls with appropriate resource
• Facilitates routine referrals and triage decisions not requiring clinical judgment
• Comprehensively assembles and enters patient information into the appropriate delivery system
• Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help achieve its business and operational goals
• Supports team members and participate in activities to help build a high-performance team
• Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal)
• Responsible for staying abreast of operational changes, updating self to ensure accuracy
• Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies
• Leads or participates in activities as requested that help improve Care Center performance, quality, and culture
• Navigate systems, document customers' comments/information and forwards required information
• Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information
Company DescriptionThe mission of netPolarity is to be a leading full-service global supplier of workforce procurement solutions. We empower and enrich the lives of everyone we touch by “bridging the gap” between world class organizations and contingent workers.
Our vision is building a brand based on integrity, reliability, quality and professionalism; and to be the first supplier that clients think of when the best talent is needed as well as the employer of choice for contingent workers. Our name is synonymous with the best service offerings in the industry.
What We Stand For
netPolarity is built on a set of everlasting concrete values. We pride ourselves on exceeding both our clients’ and our contingent workers’ expectations, without ever compromising our core beliefs. Here are the values and commitments that we proudly stand by.
Integrity
We deliver what we promise. There is nothing more important to us than our word. Our reputation speaks for itself.
Ethics
We commit to maintaining the highest ethical standard in a Apply tot his job