Healthcare Call Center Agent

Job Summary

Providing exceptional customer service, the remote Healthcare Call Center Agent will handle inbound and outbound calls, respond to electronic communications, research claims, verify insurance, and ensure compliance with healthcare regulations.

Key responsibilities

• Answer incoming calls and make outbound calls to address member or provider inquiries while maintaining professionalism in high-pressure situations
• Accurately document all interactions in the system, ensuring records are complete and up to date
• Meet or exceed performance metrics, including call handle time and customer satisfaction, while adhering to 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
• 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
• Must be able to speak, read, and write proficient English; bilingual is a plus