Healthcare Benefits Representative

ibex•Wilkins Township, PA

1d•Remote

About The Position

This position involves supporting health benefits and member services in a remote environment. Initially, the role will focus on high-volume Open Enrollment activities, followed by ongoing customer service support across multiple channels. The company offers paid training, structured development, and opportunities for long-term growth. Employees who meet performance, attendance, and quality standards may be eligible for 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.
Quiet, distraction-free workspace required.
Reliable high-speed internet required.

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.
Assist members with coverage, claims, billing, and payments.
Assist members with 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.