Customer Service Healthcare

We are seeking a Customer Service Healthcare Representative for a direct hire opportunity supporting customers, pharmacies, and healthcare providers with questions related to healthcare benefits, claims, eligibility, coverage, applications, authorizations, and product information. This is a work-from-home call center role in a high-volume, customer-focused environment where strong communication, attention to detail, and problem-solving skills are essential. The position offers paid training, company-provided equipment, supportive leadership, coaching, and opportunities for career growth.

Team members can expect a professional, structured environment with recognition programs, performance support, and a focus on delivering a positive customer experience.

• Answer inbound customer service calls from customers, pharmacies, and healthcare providers.
• Assist with questions related to benefits, eligibility, coverage, claims, authorizations, applications, and healthcare products.
• Research and resolve customer issues using multiple computer systems and internal resources.
• Accurately document customer interactions, actions taken, and follow-up needs.
• Make occasional outbound follow-up calls to help resolve open issues.
• Meet quality, productivity, attendance, and customer experience expectations.

• Direct hire opportunity.
• Pay: $16.50 per hour for monolingual representatives.
• Pay: $18.00 per hour for bilingual representatives.
• Schedule:
  
  Must be available Monday through Sunday, 8am to 8pm MST.
• Work arrangement:
  Work from home.
• Equipment provided by the company.
• Paid training.
• Supportive leadership and coaching.
• Career growth opportunities.
• Recognition and incentive programs.
• Medical, dental, and vision benefits.
• 401(k).
• Paid time off.

• Must be 18 years of age or older.
• High School Diploma, GED, or equivalent required.
• At least 1 year of customer service experience required.
• Basic Microsoft Word and Excel skills required.
• Strong verbal communication, active listening, and problem-solving skills required.
• Ability to work in a fast-paced, high-volume call center environment.
• Ability to attend all required training.
• Flexibility to work full-time schedules, including evenings, weekends, holidays, and occasional overtime.
• Must remain on camera during working hours.

• Previous call center experience.
• Healthcare, pharmacy, insurance, or medical office experience.
• Experience working remotely.
• Familiarity with medical terminology or health benefits.

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-_Know Your Rights
6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%.pdf

For temporary assignments lasting 13 weeks or longer, Apple One is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

Apple One participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resources

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We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.