Remote Customer Service Representative

Job Summary

To support healthcare operations, the full-time hourly Remote Customer Service Representative will review grievance and appeals documents, accurately classify disputes, and manage member information across multiple client systems while adhering to HIPAA regulations.

Key responsibilities

• Review and assess incoming grievance and appeals documents for completeness and relevance
• Accurately classify dispute types and assign the correct Line of Business based on client guidelines
• Enter and normalize data into internal systems while ensuring compliance with HIPAA and data privacy standards

Required qualifications

• High school diploma or equivalent
• Experience in customer service or data entry roles
• Familiarity with healthcare regulations and HIPAA compliance
• Proficiency in using multiple client systems and data entry platforms
• Ability to work Monday-Friday from 1:30 PM to 10:00 PM EST with potential for overtime