Customer Service Healthcare

AppleOne Employment Services; Albuquerque (NM); Remote; USD 35,000 - 37,000; Full time

Benefits offered by this job

Paid training

Equipment provided by the company

Medical, dental, and vision benefits

401(k)

Paid time off

Career growth opportunities

Recognition programs

Supportive leadership and coaching

Job summary

AppleOne Employment Services is hiring a Customer Service Healthcare Representative for a direct hire, work-from-home role supporting customers, pharmacies, and healthcare providers with questions on benefits, eligibility, and product information.

The position offers paid training, company-provided equipment, supportive leadership, coaching, and opportunities for career growth within a structured environment that emphasizes a positive customer experience.

Qualifications

• Must be 18 years of age or older.
• High School Diploma, GED, or equivalent required.
• At least 1 year of customer service experience required.
• Basic Microsoft Word and Excel skills required.
• Strong verbal communication, active listening, and problem-solving skills required.
• Ability to work in a fast-paced, high-volume call center environment.
• Ability to attend all required training.
• Flexibility to work full-time schedules, including evenings, weekends, holidays, and occasional overtime.
• Must remain on camera during working hours.

Responsibilities

• Answer inbound customer service calls from customers, pharmacies, and healthcare providers.
• Assist with questions related to benefits, eligibility, coverage, claims, authorizations, applications, and healthcare products.
• Research and resolve customer issues using multiple computer systems and internal resources.
• Accurately document customer interactions, actions taken, and follow-up needs.
• Make occasional outbound follow-up calls to help resolve open issues.
• Meet quality, productivity, attendance, and customer experience expectations.

Skills

Customer service

Verbal communication

Active listening

Word and Excel

Education

High school diploma or equivalent

Job description

Job Summary

We are seeking a Customer Service Healthcare Representative for a direct hire opportunity supporting customers, pharmacies, and healthcare providers with questions related to healthcare benefits, claims, eligibility, coverage, applications, authorizations, and product information. This is a work-from-home call center role in a high-volume, customer-focused environment where strong communication, attention to detail, and problem-solving skills are essential. The position offers paid training, company-provided equipment, supportive leadership, coaching, and opportunities for career growth. Team members can expect a professional, structured environment with recognition programs, performance support, and a focus on delivering a positive customer experience.

Key Responsibilities

• Answer inbound customer service calls from customers, pharmacies, and healthcare providers.


• Assist with questions related to benefits, eligibility, coverage, claims, authorizations, applications, and healthcare products.


• Research and resolve customer issues using multiple computer systems and internal resources.


• Accurately document customer interactions, actions taken, and follow-up needs.


• Make occasional outbound follow-up calls to help resolve open issues.


• Meet quality, productivity, attendance, and customer experience expectations.

Compensation and Benefits

• Direct hire opportunity.


• Pay: $16.50 per hour for monolingual representatives.


• Pay: $18.00 per hour for bilingual representatives.


• Schedule: Must be available Monday through Sunday, 8am to 8pm MST.


• Work arrangement: Work from home.


• Equipment provided by the company.


• Paid training.


• Supportive leadership and coaching.


• Career growth opportunities.


• Recognition and incentive programs.


• Medical, dental, and vision benefits.


• 401(k).


• Paid time off.

Required Qualifications and Skills

• Must be 18 years of age or older.


• High School Diploma, GED, or equivalent required.


• At least 1 year of customer service experience required.


• Basic Microsoft Word and Excel skills required.


• Strong verbal communication, active listening, and problem-solving skills required.


• Ability to work in a fast-paced, high-volume call center environment.


• Ability to attend all required training.


• Flexibility to work full-time schedules, including evenings, weekends, holidays, and occasional overtime.


• Must remain on camera during working hours.

Preferred Qualifications

• Previous call center experience.


• Healthcare, pharmacy, insurance, or medical office experience.


• Experience working remotely.


• Familiarity with medical terminology or health benefits.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.