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Healthcare Insurance Customer Support Specialist

Work from home Full-time role Hiring

Location: Remote – Must reside in Florida or Kentucky and be available to work Eastern or Central Time Zone business hours Schedule: Full-Time; shift schedules vary between 07:00am - 07:00pm CST. Pay: $17.00–$21.00/hour (Based on experience) Are you passionate about helping others and experienced in healthcare customer support? We're seeking a Healthcare Insurance Customer Support Specialist to join our growing team supporting healthcare providers and Veterans. This role is ideal for someone who thrives in a fast-paced call center environment, enjoys problem-solving, and has a strong understanding of healthcare insurance. Training: Comprehensive paid 6+ week training program provided to ensure your success.

What You'll Do

  • Handle a high volume of inbound and outbound customer service calls.
  • Conduct provider outreach and referral-related calls.
  • Assist healthcare providers and Veterans with questions regarding benefits, referrals, authorizations, and healthcare services.
  • Research and resolve complex inquiries using multiple internal systems and databases.
  • Accurately document all customer interactions while maintaining quality and compliance standards.
  • Guide callers through online portals and self-service tools to improve the customer experience.
  • Meet established productivity, quality, and schedule adherence metrics.
  • Collaborate with internal teams to resolve escalated issues.
  • Participate in ongoing training and continuous process improvement initiatives.
  • Support quality assurance efforts to enhance provider and Veteran experiences.
  • Mentor new team members and share best practices when needed.

Required Qualifications

  • High School Diploma or GED.
  • Minimum of 1 year of corporate customer service experience.
  • Healthcare insurance experience is required.
  • Experience handling both inbound and outbound calls in a call center environment.
  • Excellent communication, active listening, and problem-solving skills.
  • Strong computer proficiency with the ability to navigate multiple systems simultaneously.
  • Must reside in Florida or Kentucky.
  • Must be available to work Eastern or Central Time Zone business hours.

Preferred Qualifications

  • Experience supporting healthcare providers or referral management.
  • Knowledge of healthcare benefits, insurance verification, referrals, and authorizations.
  • Experience using Microsoft Office (Outlook, Word, and Excel).
  • Prior military experience or experience serving Veterans is a plus.

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