Healthcare Customer Service Representative

Healthcare Customer Service RepresentativeWe are seeking a Healthcare Customer Service Representative to handle inbound member and provider calls on benefits, eligibility, claims status, and authorization questions for our client. This position is a full-time, direct hire opportunity based onsite in the Houston, TX area. The role responds to questions across commercial and Medicare lines, researches claims status and denials, routes prior authorization escalations, and documents each interaction accurately while meeting call volume, quality, and adherence targets.This role is well aligned for a customer service professional with phone-based experience who is comfortable in a high volume, well coached contact center environment. The ideal candidate brings clear communication, calm de-escalation skills, and strong documentation habits, and is supported by a paid virtual training program, nested production with a dedicated mentor, and ongoing quality coaching.Responsibilities:Handle inbound member and provider calls in a contact center environmentRespond to benefits, eligibility, and coverage questions across commercial and Medicare linesResearch and explain claims status, denials, and explanation of benefitsLook up prior authorization status and route correctly when escalation is neededDocument each interaction accurately in the call tracking systemNavigate four to six applications concurrently to resolve member questionsDe-escalate frustrated callers with calm, structured conversationMeet daily call volume, quality, and adherence targetsIdentify trends and surface recurring issues to team leadsQualifications:Minimum of 1 year of phone based customer service experience, with healthcare or insurance experience preferredHigh school diploma or equivalent; associate degree a plusTyping at 40 words per minute or higher with strong documentation habitsComfort navigating multiple applications simultaneouslyClear spoken English and openness to coaching on call structureSchedule:Full-time positionOnsite in Houston, TXMonday through Friday, standard business hours40 hours per weekSalary Range: The salary range for this position is approximately $37,440 – $45,760 annually ($18.00 – $22.00 per hour), based on experience and qualifications.Interview Process: Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.