Customer Service Rep CAC Blue Ridge -Remote

Customer Service Representative - (CAC)

This is full time remote position- Candidates must be within commuting distance of Sentara RMH or Sentara MJH to report on site as needed for connectivity/equipment support

The Customer Service Representative (CAC) handles all aspects of member/patient support, focusing on timely research and resolution of telephone inquiries. This role manages incoming calls to address questions about member eligibility, plan prescription benefits, and claim payment issues, as well as patient service needs such as updating billing information, establishing payment plans, resolving payment inquiries, and scheduling.
Success in this role requires clear communication, accurate documentation, strong problem-solving, and a service-oriented mindset to ensure an excellent experience on every call.

You MUST be within one hour of either Sentara Martha Jefferson or Sentara Rockingham hospitals

EducationHigh School Diploma or equivalentCertification/Licensure

No specific certification or licensure requirements

Experience

1+ year of customer service experience (healthcare or contact center environment preferred)

Experience assisting callers with eligibility/benefits, claims/payment resolution, billing updates, payment plans, and appointment scheduling

Proficiency with CRM/EMR or call-tracking systems; accurate call documentation and follow-through

Strong communication, de-escalation, and problem-solving skills; ability to manage a high call volume and meet performance KPIs

Commitment to accuracy, confidentiality, and HIPAA/privacy compliance

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$16.35 - $23.08. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.