Healthcare Call Center Agent

Job Summary

Providing exceptional customer service, the remote Healthcare Call Center Agent will manage inbound and outbound calls, respond to electronic correspondence, and handle inquiries related to claims and insurance verification while ensuring compliance with healthcare regulations.

Key responsibilities

• Answer incoming calls and address member or provider inquiries while making outbound calls as necessary
• Document all interactions accurately in the system and maintain confidentiality in compliance with HIPAA regulations
• Meet performance metrics including call handle time and customer satisfaction while adhering to standardized call scripting and quality guidelines

Required qualifications

• High school diploma or equivalent required; associate degree or healthcare certification preferred
• 1+ year of experience in a call center or customer service role, preferably in a healthcare setting
• Strong communication skills with the ability to demonstrate empathy and active listening
• Ability to multitask and navigate multiple systems simultaneously, with proficiency in Microsoft Office and call center software
• Familiarity with medical terminology and insurance processes is a plus