Customer Service Healthcare Representative

Ibex Limited; Washington (District of Columbia); On-site; USD 35,000 - 55,000; Full time

Benefits offered by this job

Paid training

Flexible shifts

Job summary

Ibex Limited is hiring a Customer Service Agent to support members with health insurance inquiries via phone, email, and chat. You will help with coverage, benefits, claims, and provider networks while ensuring HIPAA compliance.

Join a team that values energy, teamwork, and growth, with paid training and flexible shifts including weekends. We encourage applicants who are eager to learn even if not all qualifications are met.

Qualifications

• Previous customer service experience, preferably in healthcare or insurance.
• Strong verbal and written communication skills.
• Independent decision-making and problem-solving under pressure.
• Ability to handle high volumes of calls, chats, and emails.
• Proficiency in CRM and customer support platforms.
• Must be 18+ and have a high school diploma or equivalent.

Responsibilities

• Provide guidance on provider networks, referrals and pre-authorizations.
• Troubleshoot and resolve billing, payments and coverage issues.
• Ensure HIPAA compliance when handling member information.
• Collaborate with internal departments to resolve complex member concerns.
• Maintain accurate records in CRM systems.
• Meet performance metrics such as response time, resolution rate and CSAT scores.
• Stay updated on policies, state regulations and healthcare industry changes.

Skills

Customer service experience

Verbal and written communication

Problem-solving under pressure

Multitasking in high-volume env.

Education

High school diploma or equivalent

Tools

CRM software

Customer support platforms

Job description

Overview

Jumpstart Your Career with Ibex!

Ibex is where your career journey starts with energy, teamwork, and endless opportunities! Whether you're just starting out or ready for something new, we’ve got your back with paid training that sets you up for success. Our vibrant team thrives on support, good vibes, and leaders who truly listen. You’ll make real connections, build new skills, and grow your career in a place that celebrates you.

About the Role:

As a Customer Service Agent, you will be responsible for assisting members with inquiries related to health insurance coverage, claims, benefits, and provider networks. You will provide support via phone, email, and chat while ensuring compliance with HIPAA regulations and company policies.

We’re looking for enthusiastic individuals with a can-do attitude. Even if you don’t meet every qualification, we encourage you to apply. We value potential as much as experience.

Responsibilities

What You’ll Do:

• Provide guidance on provider networks, referrals and pre-authorizations.


• Troubleshoot and resolve issues related to billing, payments and coverage.


• Ensure compliance with HIPAA regulations when handling sensitive member information.


• Collaborate with internal departments to resolve complex member concerns.


• Maintain accurate records of customer interactions and resolutions in CRM systems.


• Meet performance metrics such as response time, resolution rate and customer satisfaction scores.


• Stay updated on policies, state regulations and healthcare industry changes.

Qualifications

What We’re Looking For:

• Previous customer service experience, preferably in healthcare or insurance.


• Strong verbal and written communication skills.


• Independent decision-making and problem-solving skills with the ability to remain calm under pressure.


• Ability to handle high call/chat/email volumes effectively.


• Proficiency in computer applications, including CRM and customer support platforms.


• Ability to work flexible shifts, including weekends and holidays.

Requirements:

• Must be 18 years or older


• High school diploma or equivalent

Why Ibex?

• Paid training


• A culture that celebrates YOU


• Opportunities for growth and advancement


• A team that’s got your back