Remote Healthcare Claims Service Specialist II

HealthEdge Software, Inc.; Idaho; Remote; USD 25,000 - 29,000; Full time

Job summary

HealthEdge Software, Inc. is seeking a Customer Service Associate to deliver exceptional support to UST customers via inbound calls in a growing center.

The role operates 8am–9pm EST and includes documenting calls in ticketing systems while coordinating with claims and providers. The ideal candidate has a high school diploma and 2–3 years in healthcare claims or call-center environments, strong verbal and written communication, and proficiency with Word and Excel.

Qualifications

• High school diploma or equivalent required.
• 2–3 years of experience in healthcare claims operations or call center environments.
• Knowledge of Medicare/Medicare Advantage plans preferred.
• Strong verbal and written communication skills.
• Attention to detail and problem-solving abilities.
• Basic proficiency with MS Word and Excel.

Responsibilities

• Receive and respond to inbound phone calls for customer assistance.
• Respond to outbound call requests.
• Document all calls in ticketing systems.
• Respond to customer inquiries and provide data within required time frames.
• Act as liaison between claims department and providers.
• Research customer claims in primary payor systems.
• Ensure the highest level of customer service on every call.
• Perform other duties as assigned.

Skills

Healthcare claims operations

Call center experience

Medicare knowledge

Verbal communication

Written communication

Attention to detail

Education

High school degree

Tools

MS Word

MS Excel

Job description

HealthEdge Software, Inc. is seeking a Customer Service Associate to deliver exceptional support to UST customers via inbound calls in a growing center.

The role operates 8am–9pm EST and includes documenting calls in ticketing systems while coordinating with claims and providers. The ideal candidate has a high school diploma and 2–3 years in healthcare claims or call-center environments, strong verbal and written communication, and proficiency with Word and Excel.