Healthcare Customer Service Representative
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Job Description
Healthcare customer service representative verifying patient insurance eligibility and benefits for Imagenet, a healthcare operations partner. Updating EHR data and supporting payer administration remotely.
Responsibilities:
- Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
- Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) and internal systems
- Document benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
- Communicate with patients to clarify insurance coverage and respond to basic inquiries
- Collaborate with clinical, billing, and internal teams regarding eligibility and authorization status
- Identify and resolve discrepancies in insurance information; escalate complex cases as needed
- Maintain compliance with HIPAA and patient privacy regulations
Requirements:
- 1–2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
- Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
- Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
- Proficient in navigating healthcare systems; experience with EHRs preferred
- Demonstrated excellence in customer service and client interaction
- Clear and professional communication skills
- Must successfully pass a criminal background check
- High-speed internet of 25 Mbps download and 5 Mbps upload; speed test required
- Ability to directly hardwire to the modem
- Required to have a quiet dedicated work area
Benefits:
- Paid training period
- Medical insurance
- Dental insurance
- Life insurance
- Vision insurance
- HSA
- 401K
- 7 paid holidays with no wait time to qualify
- 6 PTO days after 90 days
- Equipment provided
- 100% remote position
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