Healthcare Customer Service Specialist
New
United States, 8:00 AM - 9:00 PM Eastern TimeFull-TimeMiddle
Salary29,120 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- 1+ year of call center customer service experience; 1+ year of healthcare or health insurance experience
- Required Skills
- Customer serviceCRM
Requirements
- High School Diploma or equivalent
- 1+ year of call center customer service experience handling high call volume
- 1+ year of healthcare or health insurance experience
- Previous job tenure of at least 6 months per role
- Knowledge of privacy regulations
- Strong verbal and written communication skills
- Ability to navigate multiple systems and maintain accuracy while handling calls
- Comfortable working in a remote environment with a designated, private workspace
- Demonstrated stable work history with a track record of reliability
- Reliable high-speed internet
Responsibilities
- Answer inbound calls and place outbound calls to assist members or patients with inquiries, benefits, scheduling, and service coordination
- Provide accurate information about health plan benefits, eligibility, and coverage
- Schedule, reschedule, and confirm appointments with healthcare providers
- Process referrals, authorizations, prescription renewals, and other requests
- Assist members or patients with claims questions, billing inquiries, and account updates
- Review insurance or plan eligibility and update records in the system
- Maintain accurate documentation in electronic systems, including EMR or CRM tools
- Communicate with providers and internal teams via phone, secure messaging, or email
- Protect member and patient confidentiality and follow HIPAA or applicable privacy guidelines
- Escalate complex issues to the appropriate team or supervisor for resolution
View Full Description & ApplyYou'll be redirected to the employer's site
