Remote Call Center Representatives Jobs in Rochester, NY

Join Us in Shaping the Future of Health Care
At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
What's in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
About the Opportunity
Are you passionate about delivering exceptional customer service and helping others navigate their healthcare benefits? We are seeking a Care Center Representative to serve as the first point of contact for members and customers, providing accurate information, resolving concerns, and ensuring a positive customer experience with every interaction.
In this role, you will handle inbound and outbound calls, educate members on benefits and policies, respond to Department of Health audit calls, and act as a liaison between internal and external customers. Successful candidates will demonstrate strong problem-solving abilities, attention to detail, and the ability to efficiently navigate multiple systems while maintaining strict confidentiality and high-quality service standards.
Qualifications you'll bring:

• High School diploma or equivalent when possesses customer service employment experience. (Associates degree, college courses) preferred
• Minimum 1 - 3 years customer service experience and/or relevant office experience required
• Experience in positions where adherence to strict confidentiality is required
• Strong problem solving skills with effective oral and written communication skills
• Have strong interpersonal skills and exhibit good judgment
• Demonstrated excellent customer service skills including superior accountability and follow through
• Demonstrated PC skills using Microsoft applications
• Power strip with 4 to 6 outlets that has an Integrated circuit breaker that cuts power to your extension cord should it experience overvoltage or overheating
• Bilingual (Spanish speaking) excellent telephone/communication skills

Your key responsibilities:

• Provides optimum customer service as required to maintain existing members and prevent cancellations.
• The Care Center Representative must take full responsibility for every call to ensure callers concerns are met.
• Provides world class customer care to internal and external customers while consistently adhering to all call handling objectives, i.e., hold time, talk time, after call work, schedule adhere and quality assurance.
• Correctly responds to all Department of Health audit calls on a consistent basis.
• Acts as a liaison between our internal and external customers.
• Responds promptly, accurately, and effectively to all calls in a polite and professional manner.
• Responds to all calls timely and have a clear understanding of call avoidance, such as but not limited to: short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold button.
• Performs data input in a highly accurate and timely manner on all customer contacts.
• Simultaneously accesses multiple databases while addressing customer's needs.
• Research information needed to accurately respond to customer's needs. Asks appropriate questions to ensure a clear understanding of customer's concern.
• Clearly explains all policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVP's procedures.
• Develops a comprehensive understanding of all lines of business. Has the technical skills required to be able to perform task efficiently.
• Delivers information in a clear and confident manner.

Where you'll be:
Locate: Virtual NYS
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$20.00-$26.60
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.