Job Title: Call Center Representative (Healthcare)
Job Overview:
We are seeking a dedicated and detail-oriented Call Center Representative (Healthcare) to join our client and play a vital role in delivering exceptional patient and provider support services. This fully remote, temporary position is available to candidates located in eligible U.S. states (excluding California, Alaska, and Hawaii) and focuses on assisting patients, providers, and caregivers with billing inquiries, claims processing, benefit verification, and prior authorization support for manufacturer-sponsored healthcare programs.
Compensation:
• $17.00/hour
Work Schedule:
• Monday through Friday, 8:30 AM – 5:30 PM EST
Key Responsibilities of the Call Center Representative (Healthcare):
• Provide advanced assistance to patients, providers, and caregivers, including billing and coding support, claims tracking and submission, prior authorization coordination, benefits verification, and appeals/denials follow-up
• Conduct outreach calls such as benefit result notifications, welcome calls, and alternate coverage research
• Track payer trends, identify potential reimbursement delays or denials, and report findings to management
• Maintain confidentiality of all patient-sensitive information in compliance with applicable regulations
• Coordinate with internal and external service providers to ensure timely, accurate delivery of program services in line with service level agreements
• Work from a managed queue (phone and/or system-based), following defined procedures while exercising judgment to resolve issues efficiently
• Prepare and process correspondence, reports, and other documentation as required
• Support additional program-related services, such as benefit verifications or patient assistance program determinations, as needed
Qualifications and Skills for the Call Center Representative (Healthcare):
• High school diploma or GED required
• Minimum 2 years of call center, customer service, and/or medical industry experience
• Strong organizational skills with proven reliability and attention to detail
• Proficient in Microsoft Excel, Outlook, and Word, with general comfort using technology
• Effective verbal and written communication skills with advanced interpersonal abilities
• Strong mathematical, analytical, and problem-solving skills
• Knowledge of healthcare billing processes, pharmacy operations, and medical claims terminology preferred
Why Join Us?
This role offers the opportunity to work remotely while making a meaningful impact in the healthcare industry. You’ll join a team committed to delivering high-quality patient and provider support while expanding your expertise in healthcare operations and reimbursement processes.
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