Healthcare Customer Service Representative

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Confirm insurance eligibility and benefits utilizing payer portals, phone interactions, and verification tools.

• Update and manage patient demographic and insurance information within the Electronic Health Record (EHR) and internal systems.

• Record benefit specifics such as copayments, deductibles, coinsurance, and out-of-pocket maximums.

• Engage with patients to clarify insurance coverage and address basic inquiries.

• Collaborate with clinical, billing, and internal teams regarding eligibility and authorization statuses.

• Identify and resolve discrepancies in insurance data; escalate complex cases when necessary.

• Ensure compliance with HIPAA and regulations concerning patient privacy.

⛳️ Requirements

• 1–2 years of experience in a healthcare call center or healthcare administration, including insurance verification, patient registration, or medical billing.

• Familiarity with health insurance terminology such as copay, deductible, coinsurance, HMO, PPO, and subscriber.

• Basic understanding of government-sponsored plans (Medicaid and Medicare) and their distinctions.

• Proficient in navigating healthcare systems, with experience in EHRs preferred.

• Proven excellence in customer service and client interactions.

• Clear and professional communication abilities.

• Must successfully pass a criminal background check.

• High-speed internet connection of 25 Mbps download and 5 Mbps upload; speed test required.

• Ability to connect directly to the modem via hardwire.

• Must have a quiet, dedicated workspace.

🏝️ Benefits

• Paid training period.

• Medical insurance.

• Dental insurance.

• Life insurance.

• Vision insurance.

• Health Savings Account (HSA).

• 401K plan.

• 7 paid holidays with immediate eligibility.

• 6 PTO days available after 90 days of employment.

• Equipment provided.

• 100% remote position.