Healthcare CSR Remote - MA, VA, PA, DE ONLY

Are you passionate about helping others navigate their healthcare journey? Do you live in MA, VA, PA or DE? We are seeking empathetic, detail-oriented Customer Service Specialists to join our dedicated healthcare team.

In this role, you will serve as the primary lifeline for patients and healthcare providers - resolving non-clinical concerns, processing care authorizations, and ensuring patients receive the timely support they deserve.

• Comprehensive Onboarding & Mentorship:
  Never feel thrown into the deep end! Enjoy 4 to 6 weeks of structured paid training, starting with a dedicated "Welcome Week," followed by a supervised Nesting Week to build your confidence before taking full calls.
• Performance Bonuses:
  After just 4 months, you become eligible for performance-based bonuses tied to quality, schedule adherence, and handle times.
• Path to Full-Time Benefits:
  Successful contractors have a clear path to transition into Full-Time Employee (FTE) roles, unlocking full medical coverage, a 401(k), stock options, paid time off (PTO), and personal days.
• Continuous Career Growth:
  Receive ongoing 1:1 supervisor support, 30-60-90 day growth scorecards, and opportunities to cross-train across inbound and outbound functions.

salary: $18 - $18.5 per hour

shift:
First

work hours: 8 AM - 5 PM

education:
High School

• Frontline Support: Serve as the main point of contact for healthcare providers and plan members, delivering high-quality, empathetic support with a focus on first-call resolution.
• Authorization & Eligibility Intake: Research member eligibility, verify provider status, and process care authorization requests efficiently.
• Problem Resolution: Guide callers on necessary clinical documentation to reduce unnecessary transfers to clinical teams.
• Transparent Communication: Clearly communicate appeal, denial, and case status updates to members and providers while strictly safeguarding Protected Health Information (PHI/HIPAA).
• High-Volume Engagement: Comfortably handle an average volume of 50-100 inbound/outbound inquiries daily in a fast-paced care center setting.

• working in a smoke free environment

• Active Listening
• Telephone Etiquette
• Empathy
• Basic Computer Skills
• Customer Service
• Typing Skills
• HIPAA
• CRM
• Verbal Communication
• ICD-10
• CPT Codes

• Years of experience: 1 year
• Experience level:
  Experienced

• Experienced
• 1 year

• High School (required)

Equal Opportunity

Employer:

Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Any consideration of a background check would be an individualized assessment based on the applicant or employee's specific record and the duties and requirements of the specific job.