Job ID Number

R4451

Employment Type

Full time

Worksite Flexibility

Remote

Job Summary

We are looking for a motivated Customer Service Representative ready to take us to the next level! If you are located in North Carolina, have prior experience in a healthcare customer service environment, and are looking for your next career move, apply now!

Job Description

We are looking for a Customer Service Representative to provide first point of contact for our providers, delivering exceptional support and addressing inquiries related to behavioral and physical health services. This position is a 3+ month contract and remote . Must reside in North Carolina.

What You’ll Do

• Respond to provider questions, emails, and calls in a timely and professional manner.

• Assist with navigating and resolving a variety of issues, including claims and continuity of care.

• Work towards meeting and exceeding call center metrics as monitored by DHHS to avoid liquidated penalties.

• Manage a high volume of inbound and outbound calls with efficiency and courtesy.

• Maintain detailed records of interactions, transactions, and comments.

• Collaborate with Provider Relations and Contracts teams to ensure seamless service.

• Contribute to team efforts by accomplishing related results as needed.

What You’ll Need

Required:

• High school diploma or equivalent; higher education or certifications in healthcare or customer service preferred.

• Experience in customer service, ideally in a healthcare setting.

• Strong communication skills, both verbal and written.

• Ability to handle stressful situations with patience and professionalism.

• Proficiency with computers and typical office software.

• Knowledge of healthcare systems and terminology is a plus.

• Flexibility to work holidays and extended hours as required by the Department.

Physical Demands

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state and local standards.

• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

• Must be able to communicate with customers/team members in English over the phone and in person

• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard and monitor

Reasonable Accommodation Statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.

Equal Employment Opportunity Policy Statement

It is the policy of CAI not to discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Employees and applicants of CAI will not be subject to harassment due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.