Healthcare Call Center Representative

CLIENT OVERVIEW:

Our client—a leading provider of Health, Dental, Vision, Medicaid, and Medicare plans in California, serving 4.7 million members with $22.9B in annual revenue—is seeking an experienced Healthcare Customer Service Representative.

JOB OVERVIEW:

• Role: Healthcare Call Center Representative
• Location: Fully remote role (California residents only)
• Duration: 6-month contract with potential to hire
• Schedule: Mon–Fri, 9:00 AM–6:00 PM Pacific Time
• Pay: $24 hourly on W2 contract
• WFH Requirements: Must have high-speed wired internet; Wi-Fi is not allowed. A reliable home office setup is required.

JOB RESPONSIBILITIES:

• Serve as the first point of contact for providers and members.
• Support medical/disease management through calls, emails, and data entry.
• Assign inpatient length of stay and approve home health/DME services within scope.
• Process authorization requests and referrals.
• Provide administrative support, including system letters, data entry, and case manager assistance.
• Handle intake tasks, including voicemail and faxes; enter HIPAA authorizations; and manage SNF admissions.
• Respond to basic inquiry calls and support CM mailings, templates, and forms.

JOB QUALIFICATIONS:

• High school diploma or equivalent required.
• 3+ years of healthcare CSR or prior authorization experience in a healthcare call center.
• Proficient in MS Outlook, Word, Excel, and electronic record systems.
• Strong written and verbal communication skills with providers, members, and patients.
• Knowledge of managed healthcare.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal l aws.