Healthcare Customer Service Specialist

Sagility

Healthcare Customer Service Specialist providing support to members and patients for Sagility. Handle inquiries, scheduling, and ensure a positive customer experience in a remote setting.

Posted 5/29/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $14 per hourWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

call center experiencehealthcare experiencehealth insurance experienceappointment schedulingbenefits inquiriesmedical terminologyinsurance terminologyelectronic medical records (EMR)customer relationship management (CRM)EPIC

Soft Skills

strong verbal communicationstrong written communicationreliabilitydiscretionaccuracyproblem-solvingcustomer serviceadaptabilityattention to detailcommitment

Tools & Technologies

electronic systemssecure messaginghigh-speed internetFacets

Certifications & Qualifications

High School Diploma

Industry Keywords

HIPAAprivacy regulationsmember servicespatient servicesprovider servicesbenefits supportclaims processingservice coordinationinbound callsoutbound calls

About the role

Key responsibilities & impact

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

What you’ll need

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.
Preferred Qualifications: Experience with appointment scheduling or benefits inquiries; Familiarity with electronic medical records (EMR) or customer relationship management (CRM) systems; Experience with EPIC, Facets, or similar applications; Knowledge of medical and/or insurance terminology.

Benefits

Comp & perks

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.