Customer Service Representative

AppleOne Employment Services; Roswell (NM); Remote; USD 17,000 - 24,000; Full time

Benefits offered by this job

Remote work opportunity

Paid training

Career growth

Flexible schedule incl. weekends

Job summary

AppleOne Employment Services seeks a Customer Service Representative for a remote, temp-to-hire role supporting health insurance members in New Mexico. You will handle inquiries by phone, email, and chat, explain benefits, and resolve billing or claims questions while maintaining HIPAA compliance.

Requirements include 1–2 years of customer service experience, a high school diploma, and NM residency (excluding Santa Fe County).

Qualifications

• Customer service experience in health insurance or call center desirable.
• Strong communication, listening, and problem-solving skills.
• Ability to work in a fast-paced remote environment.
• Must reside in New Mexico and be 18+ with private workspace and hardwired internet.

Responsibilities

• Assist members with health insurance inquiries by phone, email, and chat.
• Explain benefits, provider networks, referrals, coverage details, and related plan information.
• Research and resolve billing, claims, and account-related concerns.
• Document member interactions accurately in company systems.
• Maintain HIPAA compliance and protect confidential member information.
• Deliver professional, friendly service while meeting quality and performance goals.

Skills

Customer service

Communication skills

Problem solving

Multitasking

Education

High school diploma or equivalent

Job description

We are seeking a Customer Service Representative for a temp to hire remote opportunity supporting health insurance members in New Mexico. This role is ideal for a service-focused professional who enjoys helping people understand benefits, coverage, claims, billing, provider networks, and related healthcare information.

Key Responsibilities

• Assist members with health insurance inquiries by phone, email, and chat.
• Explain benefits, provider networks, referrals, coverage details, and related plan information.
• Research and resolve billing, claims, and account-related concerns.
• Accurately document member interactions in company systems.
• Maintain HIPAA compliance and protect confidential member information.
• Deliver professional, friendly service while meeting quality and performance goals.

Compensation and Benefits

• Pay: $15.00 per hour.
• Job type: Temp to hire
• Remote work opportunity.
• Paid training provided.
• Career growth and advancement opportunities.
• Supportive team environment.
• Competitive pay and benefits.
• Flexible schedule availability required, including weekends and holidays.

Required Qualifications and Skills

• Support health insurance members through phone, email, and chat communication.
• Research and resolve billing, claims, coverage, and benefits questions.
• Document customer interactions accurately while maintaining confidentiality.
• Meet service, quality, and productivity goals in a remote call center environment.
• 1 to 2 years of customer service experience preferred.
• Previous experience in healthcare, insurance, or a call center environment is preferred.
• High school diploma or equivalent required.
• Must be 18 years of age or older.
• Must reside in New Mexico, excluding Santa Fe County.
• Must have a private workspace with a door.
• Must have a hardwired internet connection.
• Strong communication, listening, and problem-solving skills.
• Comfortable navigating multiple computer applications.
• Ability to work in a fast-paced remote environment.
• Ability to maintain HIPAA compliance and confidentiality standards.

Preferred Qualifications

• Healthcare, health insurance, member services, claims, billing, or provider network support experience.
• Previous remote customer service or virtual call center experience.
• Bilingual communication skills may be helpful in supporting a broader member population.

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.