Customer Service – Healthcare
Description:
• Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
• Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system and internal systems
• Document key benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
• Communicate with patients to clarify insurance coverage and respond to basic inquiries
• Provide excellent customer service over the phone in a fast-paced, high-volume environment
• Collaborate with clinical and billing teams regarding eligibility and authorization status
• Identify and resolve discrepancies in insurance information; escalate complex cases as needed
• Maintain compliance with HIPAA and patient privacy regulations
• Adhere to scheduled shift: Monday-Friday 11:00am to 8:00pm EST / 10:00am to 7:00pm CT
Requirements:
• 1–2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
• Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
• Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
• Proficient in navigating healthcare systems; experience with EHRs preferred
• Demonstrated excellence in customer service and client interaction
• Clear and professional communication skills
• Must successfully pass a criminal background check
• High Speed Internet of 25MBPS download and 5MBPS upload; required to provide a speed test
• Ability to directly hardwire to your modem
• Required to have a quiet dedicated work area
• Preferred: Experience in high-volume healthcare settings (e.g., specialty practices, call center)
• Preferred: Familiarity with major insurance payers
• Preferred: Strong adherence to daily schedules, tasks, and performance metrics
• Preferred: Ability to multitask effectively while maintaining high attention to detail
• Preferred: Self-motivated, well-organized, and skilled in time management and problem-solving
• Preferred: Capable of working independently and collaboratively within a team environment
Benefits:
• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• 7 Paid Holidays with no wait time to qualify
• 6 PTO days (after 90 days)
• Equipment provided
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