Remote Healthcare Marketplace Support Rep

AppleOne Employment Services; Toms River (NJ); Remote; USD 23,000 - 25,000; Full time

Job summary

AppleOne Employment Services is seeking a Work From Home Customer Service Representative to assist Marketplace consumers with applications, eligibility updates, and enrollment-related requests. You will handle inbound calls from enrollees and the public, following privacy procedures while documenting interactions in designated systems.

The role demands strong telephone and data-entry skills, with 6 months of relevant experience and the ability to work independently in a fast-paced environment.

Qualifications

• Must have your own WFH setup: Desktop or laptop (with a 2nd monitor), reliable high-speed internet and headset.
• Support consumers with healthcare Marketplace inquiries, applications, eligibility updates, and enrollment assistance.
• Accurately document call details, application information, and consumer requests in applicable systems.
• Follow confidentiality, privacy, performance, policy, procedure, and protocol requirements.
• Manage multiple customer service tasks in a fast-paced call center environment.
• High school diploma, GED, or equivalent required.
• Minimum of 6 months of relevant experience required.
• 1 to 2 years of customer service, call center, or related experience is a strong fit for this role.
• Strong telephone, data entry, and computer skills required.
• Ability to use phone systems, headsets, and customer support systems effectively.
• Excellent verbal, written, interpersonal, and organizational communication skills.
• Ability to work independently and as part of a team.
• Ability to handle complex tasks simultaneously while maintaining accuracy and professionalism.
• Comfortable supporting callers with sensitive information while following privacy and confidentiality standards.

Responsibilities

• Answer inbound calls from Marketplace consumers, prospective enrollees, the general public, and authorized representatives while following established policies and privacy procedures.
• Assist individuals and families with healthcare coverage applications, eligibility determinations, enrollment, demographic updates, life event changes, and disenrollment requests.
• Track, document, and update all inquiries accurately using designated systems and required call center processes.
• Respond to inbound and outbound contacts professionally, including requests for materials by mail, email, or download.
• Facilitate translation services for non-English speaking callers and transfer or refer consumers to appropriate resources when needed.
• Escalate complex calls or unresolved issues to designated staff and participate in meetings and training to maintain current program knowledge.

Skills

Telephone skills

Data entry

Computer skills

Written communication

Verbal communication

Organizational skills

Independent worker

Team collaboration

Education

High school diploma, GED, or equivalent

Associate degree or higher (preferred)

Tools

Phone systems

Headsets

CRM systems

Job description

AppleOne Employment Services is seeking a Work From Home Customer Service Representative to assist Marketplace consumers with applications, eligibility updates, and enrollment-related requests. You will handle inbound calls from enrollees and the public, following privacy procedures while documenting interactions in designated systems.

The role demands strong telephone and data-entry skills, with 6 months of relevant experience and the ability to work independently in a fast-paced environment.