Healthcare Call Center Representative (Hybrid)

TEKsystems•Minneapolis, MN

3d•$25 - $25•Hybrid

About The Position

We are seeking a customer-focused and detail-oriented Healthcare Call Center Representative to join our team in a hybrid work environment. In this role, you will serve as the first point of contact for patients, members, providers, and healthcare partners, delivering exceptional customer service while supporting a variety of healthcare-related inquiries. The ideal candidate is empathetic, solutions-driven, and comfortable navigating multiple systems in a fast-paced environment while maintaining compliance with healthcare regulations and privacy standards.

Requirements

High school diploma or GED required
1-3 years of customer service, call center, healthcare support, insurance, or patient services experience.
Strong verbal and written communication skills.
Excellent problem-solving and conflict-resolution abilities.
Proficiency with Microsoft Office applications and customer service software.
Ability to manage multiple tasks while maintaining attention to detail.
Comfortable working independently in a remote setting and collaboratively in an office environment.
Call center experience is required.

Nice To Haves

associate's degree preferred
Experience in healthcare, health insurance, medical administration, or patient support services.
Knowledge of medical terminology, healthcare benefits, claims processing, or healthcare operations.
Experience working with electronic health records (EHR), CRM platforms, or healthcare management systems.
Bilingual skills are a plus.
Healthcare experience is a plus!

Responsibilities

Handle a high volume of inbound and outbound calls from patients, members, providers, and other healthcare stakeholders.
Provide accurate information regarding healthcare services, benefits, eligibility, claims, authorizations, appointments, and billing inquiries.
Resolve customer concerns promptly while maintaining a professional and compassionate approach.
Escalate complex issues to appropriate departments and ensure timely follow-up and resolution.
Document all customer interactions thoroughly and accurately within the company's CRM and healthcare systems.
Verify patient or member information and update records as needed.
Schedule, reschedule, and confirm appointments according to organizational policies.
Process requests for referrals, prior authorizations, and medical records when applicable.
Assist with data entry and administrative tasks to support operational efficiency.
Maintain strict adherence to HIPAA guidelines and all healthcare privacy regulations.
Follow company procedures and quality standards when handling sensitive information.
Ensure call documentation meets regulatory and organizational requirements.
Participate in quality assurance reviews and coaching sessions to continuously improve performance.
Work closely with clinical teams, providers, claims specialists, and other departments to resolve customer inquiries.
Participate in team meetings, trainings, and ongoing professional development activities.
Support departmental goals related to customer satisfaction, service levels, and operational performance.