Customer Service Guide - Remote

Overview

At Guidehealth, our mission is simple but powerful: to make great healthcare affordable for all. We’re a technology-forward company that believes in accountability, continuous learning, innovation, and ensuring every voice is heard—all while leading with empathy.

This role is a Customer Service Guide position, remote with a $500 bonus. We’re looking for tech-savvy, resilient individuals who are passionate about helping others and guiding members and providers through the healthcare landscape with empathy, clarity, and confidence.

• Serving as the first point of contact for members and providers, handling 30–40 calls per day while also managing chats, texts, emails, video, and co-browsing, with an expected call resolution time of 6 to 8 minutes.
• Navigating multiple systems and balancing several interactions at once, staying accountable for accurate, timely, and empathetic resolutions.
• Assuring the accurate and timely handling of client and member calls with total follow through.
• Answering client and provider questions including, but not limited to, claims payment, status and coverage information.
• Educating customers on their plan and encouraging use of our digital tools—helping them learn how to navigate healthcare more confidently.
• Interpreting client health plan protocol.
• Reviewing claims status and providing status to the member.
• Maintaining accurate and complete call documentation.
• Maintaining a high level of professionalism.
• Returning incoming calls and solving questions about benefits, claims, eligibility, and providers, collaborating across teams when needed.
• Safeguarding privacy at all times—strictly following HIPAA and confidentiality standards.
• Documenting thoroughly, taking ownership of issues, and following through until every customer feels heard and supported.

Other postings and locations listed in the original description are not included to keep this listing focused on the Customer Service Guide role.