Healthcare CSR - U.S. Remote

Healthcare Customer Service Representative We are seeking a dependable, detail-oriented Healthcare Enrollment Customer Service Representative to join our remote contact center team. This position is responsible for assisting callers with healthcare enrollment and eligibility-related inquiries while providing accurate, professional, and timely customer service. The ideal candidate has healthcare and customer service experience, is comfortable working in a structured, high-volume contact center environment, and can efficiently navigate multiple systems while assisting callers. Job Type: Full-time - 100% Remote Position Schedule: Monday-Friday, 11am - 7:30pm EST Pay: $17.00 - $18.00 per hour DOE Key Responsibility: Handle inbound calls related to healthcare enrollment, eligibility, and account information. Research and respond to enrollment and eligibility inquiries using client systems, payer resources, and established procedures. Assist callers with questions regarding enrollment status, eligibility, demographic information, and other enrollment-related matters within the scope of the position. Accurately update and maintain member demographic, enrollment, and eligibility information in applicable systems. Navigate multiple applications and resources while actively assisting callers. Clearly and accurately document calls, actions taken, outcomes, and required follow-up. Identify discrepancies or issues with enrollment and eligibility information and follow established procedures for resolution or escalation. Communicate complex healthcare information in a clear, professional, and customer-friendly manner. Follow established scripts, workflows, standard operating procedures, knowledge resources, and escalation processes. Meet established expectations for quality, productivity, schedule adherence, attendance, and customer service. Protect confidential information and maintain compliance with HIPAA, privacy, security, and client requirements. Collaborate with internal teams and leadership to resolve issues and support a positive customer experience. Requirements: 1+ year of experience in a healthcare contact center, health plan, enrollment, eligibility, member services, provider services, claims, healthcare administration, or related environment preferred. Working knowledge of healthcare and health insurance terminology. Previous customer service experience, preferably in a high-volume phone environment. Strong verbal and written communication skills. Ability...

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