Healthcare CSR - U.S. Remote

ImageNetLLC•Tampa, FL

1d•Remote

About The Position

Imagenet is seeking a dependable, detail-oriented Healthcare Enrollment Customer Service Representative to join its remote contact center team. The position assists callers with healthcare enrollment and eligibility-related inquiries and provides accurate, professional, and timely customer service. The role is suited to someone with healthcare and customer service experience who can work in a structured, high-volume contact center, navigate multiple systems, and assist callers effectively. This is a full-time, 100% remote position scheduled Monday through Friday, 11:00 a.m. to 7:30 a.m. EST, with pay of $17.00–$18.00 per hour depending on experience. The position includes paid training and provided equipment. Remote-work requirements include high-speed internet of at least 25 Mbps download and 5 Mbps upload, providing a speed test, the ability to connect directly to the modem, and a quiet, dedicated work area.

Requirements

At least one year of experience in a healthcare contact center, health plan, enrollment, eligibility, member services, provider services, claims, healthcare administration, or a related environment is preferred.
Working knowledge of healthcare and health insurance terminology.
Previous customer service experience, preferably in a high-volume phone environment.
Strong verbal and written communication skills.
Ability to communicate professionally and effectively with callers while handling sensitive or complex situations.
Strong computer skills and ability to efficiently navigate multiple applications, browser-based systems, and resources simultaneously.
Ability to accurately document information while assisting callers.
Demonstrated attention to detail, organization, and problem-solving skills.
Ability to follow established procedures and recognize situations requiring escalation.
Ability to work independently in a remote environment while remaining engaged and accountable to the team.
Must successfully pass a criminal background check.
Must have high-speed internet with at least 25 Mbps download and 5 Mbps upload, provide a speed test, and be able to connect directly to the modem.
Must have a quiet, dedicated work area.

Nice To Haves

Healthcare enrollment or eligibility experience.
Health plan member services, provider services, claims, or benefits experience.
Experience working in a high-volume healthcare contact center.
Familiarity with major healthcare payers and common health insurance terminology.
Experience working with multiple systems while simultaneously speaking with and assisting customers.
Experience working in a performance-driven environment with defined quality and productivity metrics.

Responsibilities

Handle inbound calls related to healthcare enrollment, eligibility, and account information.
Research and respond to enrollment and eligibility inquiries using client systems, payer resources, and established procedures.
Assist callers with questions about enrollment status, eligibility, demographic information, and other enrollment-related matters within the scope of the position.
Accurately update and maintain member demographic, enrollment, and eligibility information in applicable systems.
Navigate multiple applications and resources while assisting callers.
Document calls, actions taken, outcomes, and required follow-up clearly and accurately.
Identify discrepancies or issues with enrollment and eligibility information and follow established procedures for resolution or escalation.
Communicate complex healthcare information clearly, professionally, and in a customer-friendly manner.
Follow established scripts, workflows, standard operating procedures, knowledge resources, and escalation processes.
Meet expectations for quality, productivity, schedule adherence, attendance, and customer service.
Protect confidential information and comply with HIPAA, privacy, security, and client requirements.
Collaborate with internal teams and leadership to resolve issues and support a positive customer experience.