Remote Healthcare Enrollment Specialist

ImagenetLLC; Tampa (FL); Remote; USD 23,000 - 25,000; Full time

Benefits offered by this job

Paid training

Medical, Dental, Life, Vision, HSA, 4

401K

7 Paid Holidays

6 PTO days

Equipment provided

Job summary

Imagenet is a technology-forward healthcare operations partner based in Tampa, Florida, supporting more than 150 health plans. This remote Healthcare Enrollment Customer Service Representative role handles enrollment and eligibility inquiries with accuracy and professionalism in a high-volume contact center.

You’ll navigate multiple systems, document calls, protect privacy under HIPAA, and collaborate with teams to resolve issues.

Qualifications

• 1+ year of experience in a healthcare contact center, health plan, enrollment, eligibility, member services, provider services, claims, healthcare administration, or related environment preferred.
• Working knowledge of healthcare and health insurance terminology.
• Previous customer service experience, preferably in a high-volume phone environment.
• Strong verbal and written communication skills.
• Ability to communicate professionally and effectively with callers while handling sensitive or complex situations.
• Strong computer skills with the ability to efficiently navigate multiple applications, browser-based systems, and resources simultaneously.
• Ability to accurately document information while actively assisting callers.
• Demonstrated attention to detail, organization, and problem-solving skills.
• Ability to follow established procedures and recognize situations requiring escalation.
• Ability to work independently in a remote environment while remaining engaged and accountable to the team.

Responsibilities

• Handle inbound calls related to healthcare enrollment, eligibility, and account information.
• Research and respond to enrollment and eligibility inquiries using client systems, payer resources, and established procedures.
• Assist callers with questions regarding enrollment status, eligibility, demographic information, and other enrollment-related matters within the scope of the position.
• Accurately update and maintain member demographic, enrollment, and eligibility information in applicable systems.
• Navigate multiple applications and resources while actively assisting callers.
• Clearly and accurately document calls, actions taken, outcomes, and required follow-up.
• Identify discrepancies or issues with enrollment and eligibility information and follow established procedures for resolution or escalation.
• Communicate complex healthcare information in a clear, professional, and customer-friendly manner.
• Follow established scripts, workflows, standard operating procedures, knowledge resources, and escalation processes.
• Meet established expectations for quality, productivity, schedule adherence, attendance, and customer service.
• Protect confidential information and maintain compliance with HIPAA, privacy, security, and client requirements.
• Collaborate with internal teams and leadership to resolve issues and support a positive customer experience.

Skills

Communication skills

Computer literacy

Remote work ability

Attention to detail

Problem solving

Job description

Imagenet is a technology-forward healthcare operations partner based in Tampa, Florida, supporting more than 150 health plans. This remote Healthcare Enrollment Customer Service Representative role handles enrollment and eligibility inquiries with accuracy and professionalism in a high-volume contact center.

You’ll navigate multiple systems, document calls, protect privacy under HIPAA, and collaborate with teams to resolve issues.