WFH Medical Customer Service

AppleOne Employment Services; Shreveport (LA); Remote; USD 21,000 - 26,000; Full time

Benefits offered by this job

Work from home

Structured training program

Direct hire

Job summary

AppleOne Employment Services seeks a WFH Medical Customer Service Representative for a full-time, direct hire role supporting customers, pharmacies, and healthcare providers with prescription benefit questions. This remote call center position offers structured virtual training and ongoing coaching in a team-based environment.

The role handles 60–80 inbound calls daily, requires documenting interactions, and working a 40-hour schedule within 6:00 AM–10:00 PM CST.

Qualifications

• 3 to 5 years of customer service, call center, healthcare support, pharmacy support, or related experience preferred.
• Excellent verbal communication, active listening, and problem-solving skills.
• Ability to work full time from home in a structured call center environment.

Responsibilities

• Handle approximately 60 to 80 inbound customer service calls daily in a professional, accurate, and helpful manner.
• Assist customers, pharmacies, and healthcare providers with prescription benefits, eligibility, coverage, claims, authorizations, billing, payments, and medication delivery questions.
• Research and resolve customer concerns using multiple computer systems, internal tools, and available resources.
• Accurately document customer interactions, updates, case details, and resolutions.
• Meet quality, productivity, attendance, compliance, and customer experience expectations in a remote call center environment.
• Maintain privacy, confidentiality, and healthcare service standards while working from home.

Skills

Customer service

Call center

Verbal communication

Active listening

Problem solving

Remote work

Job description

Job Summary

We are seeking a WFH Medical Customer Service Representative for a full-time, direct hire opportunity supporting customers, pharmacies, and healthcare providers with prescription benefit questions. This remote call center role is a strong fit for a dependable, customer-focused professional who enjoys solving problems, navigating multiple systems, and providing accurate support in a healthcare services environment.

This opportunity offers structured virtual training, ongoing coaching, steady full‑time hours, and a supportive remote team environment. Candidates who are tech‑savvy, service‑oriented, and interested in building a long‑term career in healthcare customer support will find clear expectations, leadership support, and a team‑focused culture designed to help employees succeed.

Key Responsibilities

• Handle approximately 60 to 80 inbound customer service calls daily in a professional, accurate, and helpful manner.
• Assist customers, pharmacies, and healthcare providers with prescription benefits, eligibility, coverage, claims, authorizations, billing, payments, and medication delivery questions.
• Research and resolve customer concerns using multiple computer systems, internal tools, and available resources.
• Accurately document customer interactions, updates, case details, and resolutions.
• Meet quality, productivity, attendance, compliance, and customer experience expectations in a remote call center environment.
• Maintain privacy, confidentiality, and healthcare service standards while working from home.

Compensation and Benefits

• Pay: $15.00 per hour.
• Full‑time, direct hire position.
• Work‑from‑home opportunity.
• Paid twice per month.
• Hours of operation are 6:00 AM to 10:00 PM CST.
• Open 7 days per week.
• Must work Saturday or Sunday each week.
• Must be available to work a 40‑hour schedule within operating hours.
• No part‑time opportunities are available.
• Training includes 16 days of virtual classroom training and 5 days of live‑call training.
• 100% attendance is required during training.
• Ongoing coaching and development are provided.

Required Qualifications and Skills

• Support inbound healthcare customer service calls related to prescription benefits and pharmacy services.
• Research eligibility, coverage, claims, authorizations, billing, payment, and medication delivery questions.
• Document customer interactions accurately while meeting call center quality and productivity standards.
• Use multiple computer systems to resolve issues and provide clear information to customers, pharmacies, and providers.
• 3 to 5 years of customer service, call center, healthcare support, pharmacy support, or related experience preferred for success in this role.
• Ability to work full time from home in a structured call center environment.
• Strong computer skills with the ability to navigate multiple systems while speaking with customers.
• Excellent verbal communication, active listening, and problem‑solving skills.
• High attention to detail and ability to document information accurately.
• Dependable attendance and ability to meet training, schedule, quality, and productivity expectations.
• Ability to maintain confidentiality and follow healthcare privacy and compliance standards.
• Professional, patient, and service‑focused approach when assisting customers, pharmacies, and healthcare providers.

Preferred Qualifications

• Previous experience in a healthcare, pharmacy, prescription benefits, insurance, or medical customer service environment.
• Prior remote call center experience.
• Familiarity with claims, eligibility, authorizations, billing, or prescription benefit terminology.
• Ability to remain calm, organized, and solution‑focused in a high‑volume inbound call environment.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E‑Verify program in certain locations as required by law. Learn more about the E‑Verify program. https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment‑qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.