Healthcare Customer Service Specialist - Work from Home

Healthcare Customer Service Specialist (Remote)

Sagility 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.

• Base Pay: $14 per hour for training, increasing after transition to production.
• Pay Frequency:
  Weekly.
• Schedule:
  
  8:00 AM - 9:00 PM Eastern Time, as 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.
• Knowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion.
• 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.

• 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.

Broad Path a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

If you need accommodation due to a disability, please email us at  This information will be held in confidence and used only to determine an appropriate accommodation for the application process.