Healthcare Customer Service Representative

Remote Healthcare Customer Service Representative

Remote | 12+ Month Contract | Full-Time

Client Confidentiality Notice

To maintain client confidentiality, specific client names, programs, and proprietary business information have been omitted from this job posting. This position supports a large national healthcare organization and involves assisting healthcare providers and healthcare stakeholders through a high-volume customer service environment. Additional program-specific details will be shared with qualified candidates during the interview process.

About the Opportunity

We are seeking compassionate and customer-focused Healthcare Customer Service Representatives to join a growing remote support team. This position plays a critical role in helping healthcare providers navigate services, resolve inquiries, coordinate care-related requests, and obtain accurate information regarding healthcare programs and benefits.

The ideal candidate thrives in a fast-paced healthcare call center environment, can effectively navigate multiple systems simultaneously, and is committed to delivering an outstanding customer experience while meeting quality and performance expectations.

This is a fully remote opportunity with comprehensive training, ongoing support, and long-term career growth potential.

Required Qualifications Required

+ 3+ years of healthcare call center experience

+ Minimum typing speed of 45 WPM

+ Experience navigating multiple systems and screens while actively speaking with customers

+ Strong communication and customer service skills

+ Ability to research and resolve complex issues independently

+ Strong computer proficiency and technical aptitude

+ Comfortable working in a metrics-driven environment

+ Reliable attendance and punctuality

Preferred

+ Previous remote/work-from-home experience

+ Prior military experience

+ Healthcare provider support experience

+ Experience working with insurance, healthcare administration, or healthcare operations

Key Responsibilities

+ Handle incoming and outbound customer service calls.

+ Identify customer needs and determine appropriate solutions.

+ Research and resolve complex inquiries utilizing multiple databases and internal systems.

+ Accurately document customer interactions and case activity.

+ Assist callers with portal navigation and self-service tools.

+ Escalate issues appropriately when additional support is needed.

+ Maintain departmental standards for quality, productivity, and schedule adherence.

+ Participate in training, coaching, and professional development opportunities.

+ Support quality improvement and process enhancement initiatives.

+ Conduct outbound follow-up calls as necessary.

+ Collaborate with internal teams to ensure timely issue resolution.

+ Provide professional, empathetic, and solution-oriented customer service.

What Makes a Successful Candidate?

Top performers consistently demonstrate:

+ Compassion and empathy

+ Active listening skills

+ Strong engagement and professionalism

+ Adaptability and resourcefulness

+ Technical proficiency

+ Accountability and reliability

+ Commitment to quality and performance goals

+ Ability to effectively utilize available resources and knowledge tools

Technical Requirements

Candidates should be comfortable using:

+ Microsoft Word

+ Microsoft Excel

+ Microsoft Outlook

+ Multiple web-based applications

+ Data entry and documentation systems

+ Simultaneous navigation between multiple screens and platforms

Work Schedule Production Hours

Monday through Friday

Availability required between:

7:00 AM - 7:00 PM CST

Candidates must be able to work an assigned 8-hour shift within these business hours.

Important:

+ Schedules are assigned based on business needs.

+ Schedule changes are generally not available during the first six months of…