Healthcare Customer Service Specialist- (REMOTE)

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.
• Afford assistance with department goals and recommend improvements to enhance efficiency.

Education & Experience

• Must be bilingual (Spanish)
• 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.

Schedule & Compensation

• Schedule: Monday–Friday Hours: 9:00 AM – 6:30 PM CST (Hours adjusted for Pacific and Mountain Time Zones)
• Pay Rate: $18.00/hour + Quarterly bonus eligible

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.