Healthcare Customer Service Representative

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.

Job Type: Full-time - 100% Remote Position

Schedule: Monday-Friday

Pay: $16.00 - $18.00 per hour DOE

Key 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

Requirements:

• 12 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

Preferred Experience:

• 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

Work From Home Requirements:

• 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.

What We Offer:

• Paid training period
• Medical, Dental, Life, Vision, HSA, 401K
• 7 Paid Holidays with no wait time to qualify
• 6 PTO days (after 90 days)
• Equipment provided

About Imagenet:

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.

Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.

Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.

Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.