Healthcare Customer Service Specialist - Work from Home

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Sagility combines industry‑leading technology and transformation‑driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title: Healthcare Customer Service Specialist - Work from Home

Job Description: Broad Path a Sagility Company is hiring experienced Healthcare Customer Service Specialists to join our remote team! These roles support healthcare members, patients, and providers by handling inbound and outbound calls, resolving inquiries, scheduling services, and ensuring a positive, professional experience.

We are looking for customer focused professionals with healthcare, insurance, or call center experience who can adapt quickly, communicate clearly, and deliver exceptional service.

• Base Pay:
  Starting at $14 per hour for training, with an increase after transitioning to production
• Pay frequency:
  Weekly pay

• Schedules can fall between the hours of 8:00 AM - 9:00 PM Eastern Time and will be assigned based on business needs

• 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

• 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 (member services, patient services, provider services, benefits support, or similar)
• Previous job tenure of at least 6 months per role, reflecting stability and reliability
• Knowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion, ensuring full compliance in a remote work environment
• 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
• Commitment to a long‑term role and building a career with the organization
• Reliable high‑speed internet

• Experience with appointment scheduling or benefits inquiries
• Familiarity with electronic medical records (EMR) or customer relationship management (CRM) systems
• Experience with EPIC, Facets, or similar applications
• Knowledge of medical and/or insurance terminology

• On‑camera participation during interviews, training, team meetings, and regular check‑ins.
• Face‑to‑face discussions sparking collaboration and engagement
• A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short‑Term and Long‑Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

Compensation note: Broad Path a Sagility Company has an effective process…