Healthcare Call Center Representative

Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability.

A career at SDS is both challenging and rewarding.  With over 500 colleagues across the globe, we've created an open and honest culture where we value constant learning and new ideas - no matter what role you're in at SDS.  We are passionate about our customers’ success and helping our colleagues grow and develop! 

What will you be doing?

SDS Call Center Representatives utilize their knowledge of medical insurance and experience in healthcare claim eligibility and verification to partner with our clients in our high-volume Call Center.

Call Center Representatives at SDS…

• Answer incoming provider and member calls regarding eligibility, benefits summaries, and other general insurance inquiries.
• Assist providers and members with questions regarding claim status and other billing concerns.
• Thoroughly document all provider and member interactions.
• Maintain departmental KPI’s, as defined by the Call Center Manager.
• Maintain or exceed all departmental and/or campaign SLA’s.
• Adhere to all corporate and client mandatory trainings, privacy and security protocols, time entry requirements, attendance and leave time policies and guidelines.
• Perform other duties as assigned.

What are we looking for?

• High school diploma or GED
• Health insurance background (preferred)
• Minimum 2 years of call center experience (preferred)
• Minimum 40 WPM typing speed
• Commitment to strong attendance
• Reliable access to strong Internet connection

Why this is the company for you?

• A company culture that is authentic and values teamwork, humility, and fairness! We work hard for our customers and have fun along the way!
• A professional development and growth-oriented workplace
• Generous benefits including, health, dental, vision and disability insurance
• 401(k) with a company match to provide a better future in your retirement years
• Work-life balance with competitive paid time off package; including vacation, holidays, and a floating day
• Performance-based incentive program
  • $500 Sign-On Bonus
  • Hourly Rate increases

Who is Smart Data Solutions?

For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation. The company brings a comprehensive set of turn-key services to handle all claims and claims-related information regardless of format (paper, fax, electronic), digitizing and normalizing for seamless use by payer clients. Solutions include intelligent data capture, conversion and digitization, mailroom management, comprehensive clearinghouse services and proprietary workflow offerings. SDS’ headquarters are just outside of St. Paul, MN and leverages dedicated onshore and offshore resources as part of its service delivery model. The company counts over 420 healthcare organizations as clients, including multiple Blue Cross Blue Shield state plans, large regional health plans and leading independent TPAs, handling over 500 million transactions of varying types annually with a 98%+ customer retention rate. SDS has also invested meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results.

SDS recently partnered with a leading growth-oriented investment firm, Parthenon Capital, to further accelerate expansion and product innovation.

Location: Smart Data Solutions is headquartered in Eagan, MN.  This position has been approved for remote work.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status

Due to access to Protected Healthcare Information, employees in this role must be free of felony convictions on a background check report.