Customer Services Representative - Verification of Benefits

Position Overview

This role supports patients and healthcare partners by providing accurate information and resolving billing inquiries related to insurance benefits. Serving as a central contact, the representative assists individuals in understanding insurance and revenue cycle procedures with clarity and professionalism, all within a remote work setting.

Key Responsibilities

• Respond to inbound calls from patients, attorneys, insurance providers, and other stakeholders regarding billing and insurance verification issues.
• Communicate revenue cycle processes, insurance details, and account results clearly while maintaining a positive customer experience.
• Utilize knowledge of healthcare insurance terminology, payer requirements, and relevant regulations to ensure accurate information is given.
• Research and resolve issues, identifying appropriate solutions or escalating when necessary.
• Adhere to established customer service policies, procedures, and quality standards.
• Effectively manage multiple tasks, maintaining productivity, accuracy, and service quality.
• Support additional departmental and operational functions as assigned.

Candidate Requirements

• High school diploma or GED is mandatory.
• Minimum one year of experience in healthcare services, insurance support, or call center environment preferred, or equivalent education and experience mix.
• Familiarity with medical insurance terminology and healthcare revenue cycle processes.
• Quick learner with the ability to adapt to department procedures, systems, and customer service expectations.
• Strong verbal and written communication skills along with excellent listening capabilities.
• Ability to prioritize various tasks and consistently meet productivity and quality targets.
• Dependable, team-oriented professional with strong interpersonal skills.
• Capable of working independently in a remote setup while upholding communication and accountability standards.
• Understanding and applying payer rules, regulations, and client-specific details effectively.

Benefits

• Comprehensive medical, dental, and vision insurance plans.
• Life and disability insurance coverage.
• Flexible spending accounts including Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, Health Savings Account, and transportation/parking benefits.
• 401(k) plan with company match contributions.
• Accrual of Paid Time Off throughout the year.
• Paid family leave options.
• Nine company-observed holidays annually.
• Opportunities for skill development, training, and career progression.
• Flexibility to work remotely.

Additional Information

This opportunity is offered through a partner organization that handles all application processing and subsequent stages including interviews and assessments. The recruitment process incorporates AI tools to support fair and objective candidate evaluation; however, final hiring decisions remain with human recruiters. Applicant data is processed according to applicable data protection laws with rights to access, correct, erase, or object to data use available upon request.