Healthcare CSR Remote - MA, VA, PA, DE ONLY

Are you passionate about helping others navigate their healthcare journey? Do you live in MA, VA, PA or DE? We are seeking empathetic, detail-oriented Customer Service Specialists to join our dedicated healthcare team.

In this role, you will serve as the primary lifeline for patients and healthcare providers—resolving non-clinical concerns, processing care authorizations, and ensuring patients receive the timely support they deserve.

Why You’ll Love Working With Us

• Comprehensive Onboarding & Mentorship: Never feel thrown into the deep end! Enjoy 4 to 6 weeks of structured paid training, starting with a dedicated "Welcome Week," followed by a supervised Nesting Week to build your confidence before taking full calls.

• Performance Bonuses: After just 4 months, you become eligible for performance-based bonuses tied to quality, schedule adherence, and handle times.

• Path to Full-Time Benefits: Successful contractors have a clear path to transition into Full-Time Employee (FTE) roles, unlocking full medical coverage, a 401(k), stock options, paid time off (PTO), and personal days.

• Continuous Career Growth: Receive ongoing 1:1 supervisor support, 30-60-90 day growth scorecards, and opportunities to cross-train across inbound and outbound functions.

Ready to Apply? Please copy the phrase "I LIVE IN MA, VA, PA or DE!" into the subject line of an email to View email address on randstadusa.com. (Please use this phrase exactly to receive next steps)  ATTENTION!! - IF YOU DO NOT LIVE IN ONE OF THE 4 STATES LISTED, you can email me with the phrase "Randstad Remote Role Intake" in the subject line, and I will send follow up information on how to proceed with other remote opportunites.    

salary: $18 - $18.5 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Key Responsibilities

• Frontline Support: Serve as the main point of contact for healthcare providers and plan members, delivering high-quality, empathetic support with a focus on first-call resolution.

• Authorization & Eligibility Intake: Research member eligibility, verify provider status, and process care authorization requests efficiently.

• Problem Resolution: Guide callers on necessary clinical documentation to reduce unnecessary transfers to clinical teams.

• Transparent Communication: Clearly communicate appeal, denial, and case status updates to members and providers while strictly safeguarding Protected Health Information (PHI/HIPAA).

• High-Volume Engagement: Comfortably handle an average volume of 50–100 inbound/outbound inquiries daily in a fast-paced care center setting.

The essential functions of this role include:

• working in a smoke free environment

Skills

• Active Listening
• Telephone Etiquette
• Empathy
• Basic Computer Skills
• Customer Service
• Typing Skills
• HIPAA
• CRM
• Verbal Communication
• ICD-10
• CPT Codes

Qualifications

• Years of experience: 1 year
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

Any consideration of a background check would be an individualized assessment based on the applicant or employee's specific record and the duties and requirements of the specific job.