Healthcare Customer Service Specialist (REMOTE)

Position Overview

As a Customer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is handling high-volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage. You’ll use established procedures and tools to resolve inquiries efficiently and with empathy—ensuring compliance, accuracy, and customer satisfaction in every interaction.

Key Responsibilities

• Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions.
• Respond to telephone inquiries using standard procedures and scripts.
• Gather required information, research account details, and resolve customer concerns accurately and promptly.
• Clearly explain billing information, insurance benefits, and available services to patients.
• Assess patient needs and provide appropriate solutions or escalate issues when necessary.
• Schedule work to ensure optimal call coverage and maintain daily productivity.
• Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals.
• Support department initiatives and contribute to continuous improvement efforts.
• Maintain strict adherence to HIPAA regulations and confidentiality policies.
• Aid in achieving department goals and recommend improvements to enhance efficiency.
• Perform other duties as assigned to support the team and organizational success.

Education & Experience

• Bilingual (Spanish) preferred (not required)
• High School Diploma or GED required; additional education is a plus.
• 1–2 years of customer service experience required.
• Healthcare, insurance, or medical collections experience preferred.
• Familiarity with Medicaid, Medicare, Workers’ Compensation, and liability claims preferred.
• Basic understanding of medical terminology and the healthcare revenue cycle.
• Proven experience working with multiple systems and databases in a fast-paced environment.

Skills & Qualities

• Strong verbal, written, and interpersonal communication skills.
• Excellent problem-solving abilities with a calm, empathetic approach.
• High attention to detail and accuracy.
• Ability to work independently and collaboratively to meet and exceed performance goals.
• Comfort using Microsoft Office Suite and adapting to new technologies.
• Bilingual abilities are a plus.
• Strong attendance and reliability.

Compensation & Benefits

• Compensation: $17.00 per hour (based on experience) + quarterly bonus eligibility.
• Shifts: Full-time, Monday–Friday 8:00am -4:30pm, 9:00am -5:30pm, 10:00am -6:30pm (CST).
• Benefits & Incentives:
  • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
  • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
  • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
  • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
  • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.