Healthcare Customer Service Specialist
Sagility
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $14 per hour
Job Level
About the role
- 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
Requirements
- 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, reflecting stability and reliability
- Knowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion, ensuring full compliance in a remote work environment
- 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
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
call center experiencehealthcare experiencehealth insurance experiencecustomer serviceclaims processingappointment schedulingdocumentation accuracyprivacy regulations knowledgeHIPAA compliancesystem navigation
Soft skills
strong verbal communicationstrong written communicationdiscretionreliabilitystabilitycommitmentproblem-solvingattention to detailcustomer empathyadaptability
Certifications
High School Diploma