Call Center Representative

Job Title: Call Center Representative

Location: Houston, Texas, 77086

Shift: Day, (7:00 am - 6:00 pm - 8 hours shift)

Duration: 3 months + possible extension

Pay Range: $18/hr- $21/hr

Responsibilities:

• Answer calls, research issues, work with other departments, and provide clear solutions.
• Act as an advocate by assisting members and providers with complaints, appeals, and appointment scheduling.
• Protect patient privacy by verifying caller identity and following HIPAA guidelines.
• Document all interactions accurately and escalate complex issues when needed

Skills:

Strong verbal communication and interpersonal skills

Knowledge of medical terminology and managed care processes

Excellent problem-solving and multitasking abilities

Typing speed of at least 35 WPM

Proficiency in call center systems, CRM tools, and healthcare platforms

Bilingual in English and Spanish (Preferred)

Required:

• High School diploma or equivalent (GED)
• 1 year Customer service experience within managed care or insurance industry

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.