Health Care Customer Service Representative

TEKsystems • Glendale, CA

2d • $21 - $21 • Onsite

About The Position

We are seeking a Health Care Customer Service Representative to support patients, providers, brokers, and healthcare teams by coordinating communications, assisting with benefits and enrollment processes, and ensuring seamless transitions of care. This individual will serve as a key liaison between patients and healthcare resources while delivering exceptional customer service in a fast-paced healthcare environment.

Requirements

• Minimum of 2 years of experience in a managed care, healthcare, or health insurance environment.
• Strong customer service experience, preferably in a healthcare or call center setting.
• Experience with care coordination
• Experience with insurance verification
• Experience with benefit verification
• Experience with prior authorizations
• Experience with data entry and record management
• Proficiency with Microsoft Word and Excel.
• Familiarity with medical terminology.
• Strong communication, organizational, and multitasking skills.

Nice To Haves

• Medical Assistant certification or similar advanced healthcare certification.
• Nursing school coursework or healthcare clinical background.
• Experience supporting healthcare enrollment, patient advocacy, or care management programs.
• Project coordination or administrative healthcare support experience.

Responsibilities

• Serve as a liaison between patients, providers, and healthcare teams.
• Educate patients regarding Emergency Room (ER) visits, inpatient hospital resources, and Early Bird Alert portal programs.
• Manage inbound and outbound communication with patients, providers, and healthcare partners.
• Assist with care coordination efforts to ensure smooth transitions between healthcare settings.
• Provide support with member enrollment and benefits-related inquiries.
• Collaborate with brokers, benefits specialists, and healthcare stakeholders.
• Assist patients and members with understanding healthcare coverage and available resources.
• Perform insurance verification and benefit verification activities.
• Handle high-volume inbound and outbound calls in a call center environment.
• Document patient interactions accurately and maintain detailed records.
• Enter and update data within healthcare systems and Excel spreadsheets.
• Support prior authorization processes and other healthcare administrative functions.
• Ensure timely follow-up and resolution of patient and provider inquiries.

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed