Job Summary
The role of SPE Customer Service HC focuses on providing empathetic and accurate assistance to healthcare customers through phone and digital channels in a remote work from home environment during night shifts. The professional will handle inquiries resolve issues and ensure service quality for a healthcare call center while following compliance standards and protecting customer data.
Responsibilities
- Handle inbound and outbound customer interactions for healthcare services by offering clear explanations resolving questions and ensuring every contact is documented accurately in the call management system.
- Resolve member and patient inquiries related to benefits eligibility claims status and appointment coordination by applying healthcare call center guidelines and maintaining consistent service quality.
- Apply active listening and de escalation techniques to manage complex or emotionally sensitive healthcare situations aiming to reduce customer stress and deliver a calm and supportive experience.
- Collaborate with internal operations clinical support and billing teams by sharing precise case details and follow up tasks so that customer issues are resolved within the agreed timelines.
- Use knowledge base articles and standard operating procedures to provide compliant answers avoid miscommunication and reduce repeat calls from customers seeking clarification.
- Document every interaction with customers in the customer relationship platform by capturing reason for contact actions taken and final outcome to support audits and continuous improvement.
- Adhere to night shift schedules and work from home guidelines by maintaining punctual logins meeting availability targets and following security procedures for handling sensitive information.
- Monitor personal performance metrics such as average handling time first contact resolution and customer satisfaction scores to identify areas where service can be improved.
- Follow healthcare compliance requirements including privacy standards and internal risk controls by safeguarding personal information and verifying customer identity for each interaction.
- Support service improvement activities by sharing recurring issue patterns customer feedback and suggestions that can enhance scripts workflows and digital self service options.
- Participate in regular training sessions and calibration exercises to stay updated on healthcare plans system changes and new call handling expectations in a remote working environment.
- Maintain professional communication during every interaction by using inclusive language neutral tone and clear explanations that help customers make informed decisions.
- Coordinate with supervisors through virtual meetings and messaging tools to seek guidance for complex cases and ensure that unresolved issues are escalated appropriately.
Qualifications
- Possess prior experience of at least two years in customer service operations where responsibilities included handling high volume contact center interactions and delivering consistent service quality.
- Hold practical exposure to healthcare call center environments with familiarity in terminology benefit structures and typical workflows used for managing member or patient inquiries.
- Demonstrate strong verbal and written communication abilities that enable clear explanations of healthcare information to customers with diverse backgrounds and levels of understanding.
- Exhibit comfort with night shift work and remote work arrangements by maintaining a quiet workspace reliable connectivity and discipline in managing schedules and breaks.
- Show proficiency in using customer relationship tools and call management applications by efficiently navigating multiple windows entering notes and retrieving information during live calls.
- Display problem solving skills by identifying root causes behind customer issues suggesting practical options and following up as needed to confirm resolution.
- Value empathy and customer centered behavior by recognizing the emotional and personal impact of healthcare topics and adjusting responses to provide reassurance.
- Prefer experience or training related to healthcare regulations and data protection practices so that customer interactions align with industry expectations and organizational policies.
Certifications Required
Preferred certifications include customer service or contact center credentials and healthcare customer care programs such as Certified Healthcare Customer Service Professional.
Over Cognizant
Cognizant (NASDAQ: CTSH) is een bouwer van AI-oplossingen en een leverancier van technologiediensten. Wij slaan de brug tussen AI-investeringen en ondernemingswaarde door het bouwen van full-stack AI-oplossingen voor onze klanten. Onze diepgaande kennis van sectoren, processen en engineering stelt ons in staat om de unieke context van een organisatie te verankeren in technologische systemen. Deze systemen versterken het menselijk potentieel, realiseren tastbare resultaten en geven wereldwijde ondernemingen een voorsprong in een snel veranderende wereld. Ontdek hoe op cognizant.ai of @cognizant.
Aanvullende arbeidsinformatie
De informatie over de beloning is correct op de datum van deze vacature. Cognizant behoudt zich het recht voor om deze informatie op elk moment te wijzigen, met inachtneming van de toepasselijke wetgeving.
Van sollicitanten kan worden verwacht dat zij gesprekken bijwonen, persoonlijk of via een videogesprek. Daarnaast kan van kandidaten worden gevraagd om tijdens elk gesprek een geldig, door de overheid uitgegeven identiteitsbewijs (zoals een identiteitskaart of paspoort) te tonen.
Cognizant is een werkgever die gelijke kansen biedt. Je sollicitatie en kandidatuur worden niet beoordeeld op basis van ras, huidskleur, geslacht, religie, levensovertuiging, seksuele geaardheid, genderidentiteit, nationale afkomst, handicap, genetische informatie, zwangerschap, veteranenstatus of enige andere eigenschap die wordt beschermd door federale, regionale of lokale wetgeving.
