healthcare call center representative

VXI Global Solutions

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Spanish Bilingual Healthcare Call Center Representative</b>
<br>
<b>Location:</b> Remote (Virtual Environment)
<br>
<b>Company:</b> Trusted Leader in Healthcare Services
<br>
<br>
<b>Are you fluent in both Spanish and English?</b> Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
<br>
<br>
As a <b>Spanish Bilingual Healthcare Call Center Representative</b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:</b>
<br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Fluency in <b>both Spanish and English</b> (spoken and written) is required.</li><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home</b>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b>
Private Workspace:</b> A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b>
Ergonomics</b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b>
Reliable Internet Connection</b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b>
Quiet, Distraction-Free Workspace</b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b>
Tech-Savvy</b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b>
Self-motivation &amp; Independence</b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b>
Communication Skills</b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b>
Adaptability</b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
<br>
If you are a motivated <b>Spanish-English bilingual</b> professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Spanish Bilingual Healthcare Call Center Representative</div><div>
Req Id: R26_02314_17</div><div>
Posted At: Sat Apr 11 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Salem, Oregon, United States</div></div></div>

US Virtual - Spanish Bilingual Healthcare Call Center Representative

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Spanish Bilingual Healthcare Call Center Representative</b>
<br>
<b>Location:</b> Remote (Virtual Environment)
<br>
<b>Company:</b> Trusted Leader in Healthcare Services
<br>
<br>
<b>Are you fluent in both Spanish and English?</b> Do you have a passion for delivering exceptional customer service and helping others navigate their healthcare options? If so, we want to hear from you!
<br>
<br>
As a <b>Spanish Bilingual Healthcare Call Center Representative</b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they maximize the benefits of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, you will deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing , assisting Spanish- and English-speaking customers.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:</b>
<br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Fluency in <b>both Spanish and English</b> (spoken and written) is required.</li><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home</b>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b>
Private Workspace:</b> A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b>
Ergonomics</b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b>
Reliable Internet Connection</b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b>
Quiet, Distraction-Free Workspace</b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b>
Tech-Savvy</b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b>
Self-motivation &amp; Independence</b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b>
Communication Skills</b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b>
Adaptability</b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
<br>
If you are a motivated <b>Spanish-English bilingual</b> professional who wants to make a meaningful impact in the lives of others, we encourage you to apply! Start a rewarding career where your language skills, dedication, and customer service expertise will help shape the future of healthcare services.
<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Spanish Bilingual Healthcare Call Center Representative</div><div>
Req Id: R26_02314_10</div><div>
Posted At: Sat Apr 11 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Lansing, Michigan, United States</div></div></div>

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Healthcare Call Center Representative
</b><br>
<br>
<b>Location: </b>Remote (Virtual Environment)<br>
<b>Company</b>: Trusted Leader in Healthcare Services<br>
<br>
<b>Are you passionate about delivering exceptional customer service and building meaningful relationships?</b><br>
<br>
As a <b>Healthcare Call Center Representative </b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology ( copays , deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:
</b><br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home<br>
</b><br>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b><br>
Private Workspace: </b>A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b><br>
Ergonomics </b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b><br>
Reliable Internet Connection </b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b><br>
Quiet, Distraction-Free Workspace </b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b><br>
Tech-Savvy </b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b><br>
Self-motivation &amp; Independence </b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b><br>
Communication Skills </b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b><br>
Adaptability </b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services.<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Healthcare Call Center Representative - Work from Home</div><div>
Req Id: R26_02133_10</div><div>
Posted At: Fri Apr 10 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Tallahassee, Florida, United States</div></div></div>

US Virtual - Healthcare Call Center Representative - Work from Home

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Healthcare Call Center Representative
</b><br>
<br>
<b>Location: </b>Remote (Virtual Environment)<br>
<b>Company</b>: Trusted Leader in Healthcare Services<br>
<br>
<b>Are you passionate about delivering exceptional customer service and building meaningful relationships?</b><br>
<br>
As a <b>Healthcare Call Center Representative </b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology ( copays , deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:
</b><br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home<br>
</b><br>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b><br>
Private Workspace: </b>A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b><br>
Ergonomics </b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b><br>
Reliable Internet Connection </b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b><br>
Quiet, Distraction-Free Workspace </b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b><br>
Tech-Savvy </b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b><br>
Self-motivation &amp; Independence </b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b><br>
Communication Skills </b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b><br>
Adaptability </b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services.<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Healthcare Call Center Representative - Work from Home</div><div>
Req Id: R26_02133_1</div><div>
Posted At: Fri Apr 10 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Jefferson City, Missouri, United States</div></div></div>

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Healthcare Call Center Representative
</b><br>
<br>
<b>Location: </b>Remote (Virtual Environment)<br>
<b>Company</b>: Trusted Leader in Healthcare Services<br>
<br>
<b>Are you passionate about delivering exceptional customer service and building meaningful relationships?</b><br>
<br>
As a <b>Healthcare Call Center Representative </b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology ( copays , deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:
</b><br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home<br>
</b><br>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b><br>
Private Workspace: </b>A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b><br>
Ergonomics </b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b><br>
Reliable Internet Connection </b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b><br>
Quiet, Distraction-Free Workspace </b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b><br>
Tech-Savvy </b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b><br>
Self-motivation &amp; Independence </b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b><br>
Communication Skills </b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b><br>
Adaptability </b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services.<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Healthcare Call Center Representative - Work from Home</div><div>
Req Id: R26_02133</div><div>
Posted At: Fri Apr 10 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Montgomery, Alabama, United States, 36130-2751</div></div></div>

Partners Behavioral Health Management

<div><div><p><b><i>Competitive Compensation &amp; Benefits Package!</i></b></p><div>
Position eligible for &ndash;</div><ul><li>
Annual incentive bonus plan</li><li>
Medical, dental, and vision insurance with low deductible/low cost health plan</li><li>
Generous vacation and sick time accrual</li><li>
12 paid holidays</li><li>
State Retirement (pension plan)</li><li>
401(k) Plan with employer match</li><li>
Company paid life and disability insurance</li><li>
Wellness Programs</li><li>
Public Service Loan Forgiveness Qualifying Employer</li></ul><div>
See attachment for additional details.</div><div></div><div><b><br>
Office Location:</b> Remote option; Available for any of Partners' NC locations</div><div><b>
Closing Date:</b> <b>Open Until Filled</b></div><div></div><p><b><br>
Primary Purpose of Position: </b>This position provides nonclinical administrative support to the PartnersACCESS call center. The Call Center Representative primary responsibility is to answer inbound calls and assist callers by connecting them to the appropriate party, sharing information, providing technical assistance, answering questions, handling and/or resolving complaints. Must maintain a high level of professionalism, patience and empathy working with callers who may be frustrated and may have complex medical, behavioral health, intellectual and other developmental conditions; and must still maintain the highest level of customer satisfaction by seeking first call resolution.</p><p>
Must live in North Carolina and preferably in Partners counties.</p><p></p><p><b><br>
Role and Responsibilities:</b></p><ul><li>
Ability to learn complex information about two Medicaid health plans and their benefits.</li><li>
Work in a call center environment and interact with callers who are generally members and providers, to deliver information, answer frequently asked questions, and address complaints.</li><li>
Route calls to the appropriate resource. Including appropriately identifying and elevating those more complex or crisis calls.</li><li>
Understand Health/Mental Health (MH)/Substance Use (SU)/Traumatic Brain Injury (TBI)/Intellectual/Developmental Disability (I/DD) treatment needs, benefit information and referral of members calling to determine if they may potentially qualify for services.</li><li>
Review call notes, enrollments, registrations, or other identified documents for completeness and/or accuracy.</li><li>
Collect and enter demographic data into the electronic record, completion of appropriate forms, explanation of services, benefits and resources, verifies Medicaid and dispatch.</li><li>
Provide follow up calls.</li><li>
This position demands a high level of accuracy and confidentiality. Information must be handled according to NC standards and rules, state and federal laws and LME/MCO and NCQA standards, procedures, policies and protocol.</li><li>
Trained on the requirements, policies and procedures of the BH I/DD Tailored Plan operating in North Carolina and can respond to all areas within the Member Handbook and Provider Manual, including resolving claims payment inquires in one touch.</li></ul><p><b>
Automation:</b></p><ul><li>
Screenings are completed using standard and specialized computer programs.</li><li>
Inputs accurate information into the system and unlocks electronic service records with appropriate consents, enters all necessary data elements into data systems.</li></ul><p><b>
Cooperative Efforts:</b></p><ul><li>
Must be a team player and have a positive attitude.</li><li>
Establish and maintain effective working relationships within the unit, agency, and service system</li><li>
Consistently demonstrate professionalism, tact and diplomacy in handling volatile callers and/or working with contract providers and other external parties.</li><li>
Participate in Unit Staff meeting, Agency Staff meetings, (All staff meetings) and assigned committees.</li><li>
Interacts by phone with providers to provide information in response to inquiries, concerns, and questions.</li><li>
Interact with providers to provide information in response to inquiries about services and other resources.</li><li>
BH I/DD Tailored Plan eligibility and services.</li></ul><p></p><p><b><br>
Knowledge, Skills and Abilities:</b></p><p><b>
Knowledge/Ability to Learn:</b></p><br>
<ul><li>
Health, mental health, substance use, traumatic brain injury and intellectual/developmental disability service delivery and NC Medicaid Managed Care system as well as the resources available in the community.</li><li>
Call center functions, member population, potential for crisis issues, confidentiality laws and program protocols/policies.</li><li>
High level computer skills.</li><li>
Ability communicate effectively orally and in writing, have good keyboarding skills and be able to multi-task.</li><li>
Ability to provide technical assistance to both members and Providers.</li><li>
Ability to maintain confidentiality when screening and referring calls.</li></ul><p></p><p><b><br>
Education/Experience Required: </b>High School diploma and at least (1) year of healthcare and/or MH/SU/IDD/TBI experience.</p><p><b>
Education/Experience Preferred:</b> Associate degree or higher and one (1) year of healthcare or MH/SU/IDD/TBI experience, or Associates Degree in Nursing (ADNs) and at least one (1) year of healthcare and/or MH/SU/IDD/TBI experience.</p><p>
Bilingual preferred (for one of the positions).</p><p><b>
Licensure/Certification Requirements:</b> N/A</p></div></div><p></p>

PartnersACCESS Call Center Representative (Remote-NC)

Chicago ENT

<div><p><b>Patient Care Coordinator</b></p><p>
Our friendly and skilled Patient Care Coordinators are key members of our care team. They welcome our patients, coordinate check in/out, and ensure all follow-up care is scheduled before patients exit our office. They also assist with administrative tasks including routing correspondence, coordinating patient documentation, and eligibility/schedule review to ensure a smooth flow for our providers' schedules. This role is full-time. <b>The primary location is St. Joe's with occasional travel to other locations as needed.</b></p><p>
This role will report to the Scheduling Lead.</p><p><b>
PRIMARY RESPONSIBILITIES of the PATIENT CARE COORDINATOR</b></p><ul><li>
Register and schedule patients for a range of ENT, Sleep, Imaging, Cosmetic, Allergy, Audiology, Oral Appliance, and Post-Operative appointments.</li><li>
Ensure appropriate and accurate data entry of patient information.</li><li>
Ensure insurance verification accuracy through EMR system and/or directly with the patients' insurance.</li><li>
Ensure copies of insurance, photo ID, outside medical records, and any required referrals are entered into the EMR system.</li><li>
Courteously collect outstanding balances and copayments in advance of patient appointments.</li><li>
Promptly respond to patient and provider inquiries via telephone, web, SMS, and EHR systems.</li><li>
Provide knowledgeable responses to patients, patient family members, providers and Chicago ENT team members in a courteous and professional manner.</li><li>
Assist with group administrative tasks including:</li><li>
Sorting faxes</li><li>
Verifying virtually scheduled appointments via ZocDoc, Healow, and PerfectServe</li><li>
Monitoring tasks assigned internally to &quot;User, Scheduler&quot; and &quot;User, Front Desk&quot; as assigned by the Scheduling Lead</li><li>
Responding to voicemail messages and Glacial inquiries</li><li>
Reviewing provider schedules for accuracy and rescheduling as needed</li><li>
Monitoring the info@chicagoent.com general email box</li><li>
Registering patients referred to the practice</li><li>
Patient care coordination including outreach to patients, primary care providers, and/or other specialist offices</li><li>
Other duties as individually assigned</li></ul><p><b>
REQUIRED QUALIFICATIONS of the PATIENT CARE COORDINATOR</b></p><ul><li>
High school diploma or equivalent required</li><li>
Ability to work within an EMR database and navigate through a Windows environment required</li><li>
Must be able to type a minimum of 30 words per minute with 90% or greater accuracy</li></ul><p><b>
PREFERRED QUALIFICATIONS of the PATIENT CARE COORDINATOR</b></p><ul><li>
1-5 years of experience as a healthcare call center representative, patient access representative, patient service representative, medical scheduler, medical assistant, or medical receptionist</li><li>
Experience working in a Sleep or ENT Specialist Office</li></ul><p><b>
SUPERVISORY RESPONSIBILITY of the PATIENT CARE COORDINATOR</b></p><p>
This position has no supervisory responsibility.</p><p><b>
CERTIFICATES, LICENSES, REGISTRATIONS of the PATIENT CARE COORDINATOR</b></p><p>
All employees are required to provide proof of vaccination or exemption.</p><p><b>
WAGE of the PATIENT CARE COORDINATOR</b></p><p><b>
$18-22.00 + Travel Reimbursement</b></p><p>
ENT is a drug-free environment and an Equal Opportunity Employer. We offer competitive salaries and benefits, including medical/dental, life and disability coverage, generous vision benefits, a 401 (k) plan with a match, vacation time, and weekends and major holidays off.</p></div>

ENT Patient Care Coordinator

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