Healthcare CSR

ImageNetLLC•Tampa, FL

1d•Remote

About The Position

Healthcare Customer Service Representative We are seeking a detail-oriented Healthcare Customer Service Representative to join our call center team. This role is essential in verifying insurance eligibility and benefits prior to patient services, ensuring accurate data entry and a smooth experience for both patients and internal teams. The ideal candidate thrives in a fast-paced, high-volume environment and delivers excellent customer service over the phone.

Requirements

1–2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
Proficient in navigating healthcare systems; experience with EHRs preferred
Demonstrated excellence in customer service and client interaction
Clear and professional communication skills
Must successfully pass a criminal background check
High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to provide a speed test.
Ability to directly hardwire to your modem
Required to have a quiet dedicated work area.

Nice To Haves

Experience in high-volume healthcare settings (e.g., specialty practices, call center)
Familiarity with major insurance payers
Strong adherence to daily schedules, tasks, and performance metrics
Ability to multitask effectively while maintaining high attention to detail
Self-motivated, well-organized, and skilled in time management and problem-solving
Capable of working independently and collaboratively within a team environment

Responsibilities

Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system
Document key benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
Communicate with patients to clarify insurance coverage and respond to basic inquiries
Collaborate with clinical and billing teams regarding eligibility and authorization status
Identify and resolve discrepancies in insurance information; escalate complex cases as needed
Maintain compliance with HIPAA and patient privacy regulations
Update and maintain patient demographic and insurance data in internal systems
Communicate clearly and professionally with patients regarding coverage
Collaborate with internal teams to resolve discrepancies and escalate complex cases
Ensure compliance with HIPAA and privacy regulations