Communication Center Representative-
This opportunity is remote with a class start date of 9/7/26
We are more than just a healthcare company; we are a community of professionals driven by the knowledge that our success leads to a positive impact on the communities that we support.
At ComplexCare Solutions, you’ll play a crucial part in innovating solutions that empower health plan members and healthcare providers alike. Our collaborative environment fosters creativity and initiative, ensuring that every idea and effort contributes to meaningful change in the industry. Join us and become a part of a team that turns vision into action, making a tangible impact on the future of healthcare.
Overview: The Communication Center Representative will work in SME (Supplemental Member Engagement - Direct to Member Communication) Contact Center.
SME - Communication Center Representatives will conduct scheduling of appointments with client members. The Representative must enjoy speaking with people (particularly the elderly) on the phone and possess in-depth understanding and the diverse skills to overcome member issues, hesitation or objections. The Communication Center Representative is accountable for making a high volume of calls with exceptional member service and ability to convert phone calls into scheduled visits while upholding strong metrics and quality.
Duties and Responsibilities:
- Conduct outbound/inbound calls to health plan members to schedule in-home assessments by nurse practitioners or other clinical staff.
- Provide members with full details of the in-home assessment within guidelines of clients.
- Provide friendly customer service with a positive attitude, building rapport and trust with members.
- Present, promote, and sell benefits of in-home assessment through active listening skills, empathy, and the ability to overcome objections.
- Communication Center Representatives may also work to schedule appointments for client’s members in a physician’s office.
- Maintain compliance with Complex Care Solutions' policies, procedures and mission statement.
- Adhere to all confidentiality and HIPAA requirements as outlined within Complex Care Solutions' Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
- Fulfill those responsibilities and/or duties that may be reasonably provided by Complex Care Solutions for the purpose of achieving operational and financial success of the Employer.
Job Requirements:
- Must possess strong computer literacy skills, including, but not limited to, data entry and retrieval, and Microsoft Office.
- Bilingual strongly preferred.
- Experience in a high call volume inbound/outbound call center or like environment.
- Ability to work in a fast-paced environment, prioritize tasks to meet deadlines and goals, perform additional duties as directed by management, and meet all business expectations in metrics and quality.
- Must be able to adapt to change to meet business and client expectations weekly, monthly, yearly.
- Excellent verbal and written communication skills.
- Sales experience strongly desired.
- Strong interpersonal and organization skills.
- Comfort level working with the senior citizen population.
- Knowledge of healthcare or managed care highly preferred.
- Ability to exercise independent judgement within policy and procedure guidelines established by the company.
- Travel for this position will include less than 5%, typically for training purposes.
Education:
- High school diploma or equivalent is required.
ComplexCare Solutions offer competitive compensation as well as benefits.
Compensation:
- $17.00/hour
- $19.00/hour (Bilingual English/Spanish)
- $3.00/hour shift differential for hours worked between 6:00 PM – 10:00 PM (Monday–Friday) based on your local time zone
The Company is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other protected characteristic under federal, state, or other applicable laws.
This company utilizes E-verify
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
