Healthcare CSR - U.S. Remote

We are seeking a dependable, detail-oriented Healthcare Enrollment Customer Service Representative to join our remote contact center team. This position is responsible for assisting callers with healthcare enrollment and eligibility-related inquiries while providing accurate, professional, and timely customer service. The ideal candidate has healthcare and customer service experience, is comfortable working in a structured, high-volume contact center environment, and can efficiently navigate multiple systems while assisting callers.

Job Type: Full-time - 100% Remote Position

Schedule:

Monday-Friday, 11am - 7:30pm EST

Pay: $17.00 - $18.00 per hour DOE

• Handle inbound calls related to healthcare enrollment, eligibility, and account information.
• Research and respond to enrollment and eligibility inquiries using client systems, payer resources, and established procedures.
• Assist callers with questions regarding enrollment status, eligibility, demographic information, and other enrollment-related matters within the scope of the position.
• Accurately update and maintain member demographic, enrollment, and eligibility information in applicable systems.
• Navigate multiple applications and resources while actively assisting callers.
• Clearly and accurately document calls, actions taken, outcomes, and required follow-up.
• Identify discrepancies or issues with enrollment and eligibility information and follow established procedures for resolution or escalation.
• Communicate complex healthcare information in a clear, professional, and customer-friendly manner.
• Follow established scripts, workflows, standard operating procedures, knowledge resources, and escalation processes.
• Meet established expectations for quality, productivity, schedule adherence, attendance, and customer service.
• Protect confidential information and maintain compliance with HIPAA, privacy, security, and client requirements.
• Collaborate with internal teams and leadership to resolve issues and support a positive customer experience.

• 1+ year of experience in a healthcare contact center, health plan, enrollment, eligibility, member services, provider services, claims, healthcare administration, or related environment preferred.
• Working knowledge of healthcare and health insurance terminology.
• Previous customer service experience, preferably in a high-volume phone environment.
• Strong verbal and written communication skills.
• Ability to communicate professionally and effectively with callers while handling sensitive or complex situations.
• Strong computer skills with the ability to efficiently navigate multiple applications, browser-based systems, and resources simultaneously.
• Ability to accurately document information while actively assisting callers.
• Demonstrated attention to detail, organization, and problem-solving skills.
• Ability to follow established procedures and recognize situations requiring escalation.
• Ability to work independently in a remote environment while remaining engaged and accountable to the team.
• Must successfully pass a criminal background check

• Healthcare enrollment or eligibility experience.
• Health plan member services, provider services, claims, or benefits experience.
• Experience working in a high-volume healthcare contact center.
• Familiarity with major healthcare payers and common health insurance terminology.
• Experience working with multiple systems while simultaneously speaking with and assisting customers.
• Experience working in a performance-driven environment with defined quality and productivity metrics.

• High Speed Internet of 25
  
  MBPS download and 5
  
  MBPS upload. You will be required to provide a speed test.
• Ability to directly hardwire to your modem
• Required to have a quiet dedicated work area.