Healthcare Benefits Representative

IBEX Global•Pittsburgh, PA

4d•Remote

About The Position

We are hiring Customer Service Agents to support health benefits and member services in a remote environment. In this role, you will initially support high-volume Open Enrollment activities and transition into ongoing customer service support across multiple channels. This position offers paid training, structured development, and opportunities for long-term growth. Employees who maintain strong performance, attendance, and quality standards will be eligible to transition into additional programs and expanded responsibilities.

Requirements

Must be 18 years or older
High school diploma or equivalent
At least 1 year of customer service experience (call center preferred)
Strong verbal and written communication skills
Ability to explain complex information clearly
Basic computer skills (typing, system navigation, multi-tasking)
Ability to work in a fast-paced, high-volume environment
Strong problem-solving and decision-making skills
Reliable attendance and punctuality

Nice To Haves

Healthcare, insurance, or benefits experience
Enrollment or claims support experience
Previous remote work experience

Responsibilities

Assist members with: Benefits, enrollment, and plan education
Coverage, claims, billing, and payments
Provider networks, referrals, and pre-authorizations
Accurately process enrollments and update member information
Troubleshoot and resolve customer issues efficiently
Navigate multiple systems while interacting with customers
Maintain accurate records in CRM systems
Ensure compliance with HIPAA and company policies
Collaborate with internal teams to resolve complex concerns
Meet performance metrics including quality, productivity, and customer satisfaction
Stay current on healthcare policies, benefits, and system updates