Remote Healthcare Call Center Specialist (Member Services)

VXI Global Solutions; Atlanta (GA); Remote; USD 21,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Remote work

Career growth

Referral program

Job summary

Trusted Leader in Healthcare Services is seeking a Healthcare Call Center Representative to provide comprehensive support to members, providers, and patients. You will document inquiries, explain plan benefits, and ensure privacy while delivering exceptional service.

The role focuses on Medicare, billing, and member services, with an emphasis on compliance, data accuracy, and customer satisfaction. This remote position requires strong communication and problem-solving skills.

Qualifications

• Minimum of two (2) years of customer service or healthcare member-interaction experience.
• Experience in call centers and/or health insurance industry preferred.
• Strong written and verbal communication skills.

Responsibilities

• Handle member, provider, and patient inquiries in areas such as Member Services, Medicare, and Billing.
• Document all interactions and resolve issues with adherence to HIPAA and compliance guidelines.
• Explain plan benefits, networks, and coverage policies to members while maintaining quality service.

Skills

Customer service

Healthcare knowledge

Communication skills

Typing 35 WPM

Problem solving

Education

High School Diploma or GED

Tools

CRM

EMR/EHR

Ticketing systems

Job description

Trusted Leader in Healthcare Services is seeking a Healthcare Call Center Representative to provide comprehensive support to members, providers, and patients. You will document inquiries, explain plan benefits, and ensure privacy while delivering exceptional service.

The role focuses on Medicare, billing, and member services, with an emphasis on compliance, data accuracy, and customer satisfaction. This remote position requires strong communication and problem-solving skills.