Patient & Member Care Specialist

Broadpath Healthcare Solutions, Inc.; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare solutions provider is hiring Patient & Member Care Specialists to deliver exceptional customer service and support to members and patients. The role involves managing inbound and outbound calls, providing information, and scheduling services. Candidates should have healthcare or call center experience and strong communication skills. This remote position offers a supportive environment and opportunities for career growth.

Qualifications

• 1+ year of call center customer service experience.
• 1+ year of healthcare or health insurance experience.
• Demonstrated stable work history with reliability.

Responsibilities

• Answer inbound calls and place outbound calls.
• Provide accurate information about plan benefits.
• Schedule and confirm appointments with providers.

Skills

Customer service

Communication skills

Ability to navigate multiple systems

Education

High School Diploma or equivalent

Tools

EMR systems

CRM systems

Job description

Overview

BroadPath is hiring talented Patient & Member Care Specialists to join our remote team. These roles support members and patients by handling inbound and outbound calls, resolving inquiries, scheduling services, and ensuring a positive, professional experience.

We’re looking for customer-focused professionals with healthcare, insurance, or call center experience who can adapt quickly, communicate clearly, and deliver exceptional service.

Responsibilities

• Answer inbound calls and place outbound calls to assist members or patients with inquiries, benefits, scheduling, and service coordination
• Provide accurate information about plan benefits, eligibility, and coverage
• Schedule, reschedule, and confirm appointments with providers
• Process referrals, authorizations, prescription renewals, and other requests
• Assist members or patients with claims questions, billing inquiries, and account updates
• Review insurance or plan eligibility and update records in the system
• Maintain accurate documentation in electronic systems, including EMR or CRM tools
• Communicate with providers and internal teams via phone, secure messaging, or email
• Protect member and patient confidentiality and follow HIPAA or applicable privacy guidelines
• Escalate complex issues to the appropriate team or supervisor for resolution

Qualifications

• High School Diploma or equivalent
• 1+ year of call center customer service experience
• 1+ year of healthcare or health insurance experience (member services, patient services, benefits support, or similar)
• Strong verbal and written communication skills
• Ability to navigate multiple systems and maintain accuracy while handling calls
• Comfortable working in a remote environment with a designated, private workspace
• Demonstrated stable work history with a track record of reliability
• Commitment to a long-term role and building a career with the organization
• Reliable high-speed internet

Preferred Qualifications

• Experience with appointment scheduling or benefits inquiries
• Familiarity with electronic medical records (EMR) or customer relationship management (CRM) systems
• Experience with EPIC, Facets, or similar applications
• Knowledge of medical and/or insurance terminology

What to Expect

• On-camera participation during interviews, training, team meetings, and regular check-ins
• Face-to-face discussions sparking collaboration and engagement
• A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions

BroadPath may conduct background checks, previous employment verifications, and education verifications, based on position requirements.

Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [e-mail]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.