Customer Support Representative

PacificSource Health Plans

Customer Support Representative providing telephone support to PacificSource customers for coverage and claims inquiries. Resolving issues and interpreting policy provisions while maintaining a professional demeanor.

Posted 6/17/2026full-timeRemote • Florida • 🇺🇸 United StatesJunior💰 $32,311 - $51,699 per yearWebsite

About the role

Key responsibilities & impact

Provide excellent customer service primarily by telephone to all PacificSource customers
Assist customers with coverage/claims related questions
Accurately interpret benefits and policy provisions for all PacificSource products
Conduct appropriate research and follow-up for prompt resolution of disputed claims
Work efficiently in a high volume call center while maintaining a professional, positive, and caring demeanor
Assist callers with coverage related questions/concerns; accurately interpret policy provisions for assigned products
Analyze customer’s inquiries and determine correct steps for resolution, interpret benefit information, and claims processing accuracy
Keep resource information up to date and well organized
Document calls in a clear and consistent manner in computer system
Conduct appropriate research, take ownership and follow through for prompt resolution of disputed claims

Requirements

What you’ll need

One-year medical insurance, other healthcare related field, call center or customer service experience required
CPT/ICD-10 coding preferred
High School Diploma or equivalent required
Basic understanding of insurance and medical terminology, coding & standard medical billing practices preferred
Proficient computer skills, typing, and 10-key required
Strong written and verbal communication skills

Benefits

Comp & perks

Flexible telecommute policy
Medical, vision, and dental insurance
Incentive program
Paid time off and holidays
401(k) plan
Volunteer opportunities
Tuition reimbursement and training
Life insurance
Options such as a flexible spending account

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

CPT codingICD-10 codingmedical billingclaims processinginsurance terminologytyping10-key

Soft Skills

customer servicecommunicationproblem-solvingorganizationprofessionalismpositive demeanor

Certifications

High School Diploma