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US

  • Efficiently triage incoming calls and resolve member and pharmacy issues with professional phone etiquette.
  • Identify, document, and escalate concerns to appropriate internal teams to ensure quality care and safety standards.
  • Support fraud, waste, and abuse programs by reviewing pharmacy claims and communicating findings to internal staff.

Customer Service Call Center Healthcare Bilingual Spanish Medicare

20 jobs similar to New Customer Care Representative (Full-Time) Remote

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US

  • Provide consistent, quality customer service to internal staff and external patients, taking ownership of each call to enhance the customer experience.
  • Manage patient requests including appointment scheduling, electronic messaging to clinical teams, and answering questions regarding medication refills.
  • Demonstrate proficient data entry skills, knowledge of insurance billing, and maintain confidentiality while performing other assigned duties.

Community Health Center, Inc. (CHC) is a creative and dynamic provider of primary medical, dental, and behavioral health services, with offices in Connecticut, Colorado and California. The organization employs several hundred providers, delivers over 500,000 patient visits annually, and is recognized for its Weitzman Institute research and practice transformation.

US

  • Perform outbound calls to enroll individuals into a food box program or reauthorize them in the program.
  • Help members make decisions that enhance their healthcare experience with empathy and compassion.
  • Make a positive difference in people's lives by supporting their health journey through tailored nutrition.

Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily to improve healthcare outcomes. With over 30 years of experience, they integrate human touch with data-driven technology and foster a collaborative, innovative culture focused on empowering growth through trust and accountability.

  • Answer inbound calls with professionalism and customer service, resolving inquiries and triaging as needed.
  • Assist with appointment scheduling, outreach for missed appointments, and document call data.
  • Maintain confidentiality and compliance with HIPAA while supporting clinical teams and call center metrics.

New York Psychotherapy and Counseling Center is New York State's largest community mental health clinic, serving over 15,000 clients monthly through in-person and telehealth services. A mission-driven organization with over 50 years of experience, recognized as a Top Place to Work and Top Mental Health Care Provider in New York.

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  • Answer emergency and non-emergency calls, dispatch responses, and monitor medical alerts with compassion.
  • Provide exceptional customer support using scripted and non-scripted responses in high-pressure situations.
  • Record call details accurately, troubleshoot alarms, and recommend preventative healthcare services.

VRI connects people with care through non-emergency medical transportation and personal home care services. They serve the underserved to improve access and outcomes, with a focus on compassionate support.

US Unlimited PTO

  • Identify, outreach, engage, and enroll individuals into the program virtually through phone, text, and email.
  • Offer education about Pair Team's services and explain the benefits of Enhanced Care Management to eligible members.
  • Manage the end-to-end enrollment funnel and provide consistent updates on stages including delays and blockers.

Pair Team is a tech-enabled medical group reimagining Medicaid and Medicare for underserved populations, delivering whole-person care. They are one of the largest Enhanced Care Management providers in California, with a workforce of nurses, social workers, and medical professionals, and have demonstrated a 58% reduction in emergency department visits.

Global

  • Answer incoming calls from clients in a professional and courteous manner.
  • Follow up with customers regarding inquiries, appointments, and ongoing requests.
  • Prepare and send estimates accurately and in a timely manner.

We are a company providing customer service solutions. We are a supportive team offering long-term remote opportunities and professional growth.

US

  • Respond promptly and professionally to customer inquiries via phone, email, and chat.
  • Assist customers with order management, troubleshooting, and complaint resolution while documenting interactions in CRM systems.
  • Maintain professionalism, empathy, and compliance with HIPAA and data security standards in a remote call center environment.

SleepRes is a venture-backed medical device startup revolutionizing sleep apnea and sleep-therapy technology. They are a small, agile, mission-driven team preparing for commercial launch of their innovative Kricket APAP device.

US

  • Serve as a primary point of contact for clients, managing inbound and outbound communications to resolve inquiries.
  • Connect with customers via phone, email, chat, or social media to de-escalate issues and track call data.
  • Upsell when required and escalate interactions as necessary.

TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainability. With a workforce of 500,000 across 300 languages, they foster a culture of inclusion and diversity.

US

  • Serve as front-line support in a high-volume inbound Contact Center, assisting patients and providers with professionalism and empathy.
  • Verify insurance, investigate benefits coverage, estimate out-of-pocket costs, and discuss patient payment options.
  • Troubleshoot product, service, and enrollment issues with sensitivity and urgency while maintaining compliance.

iRhythm is a leading digital healthcare company that creates trusted solutions to detect, predict, and prevent disease. The company combines wearable biosensors and cloud-based data analytics with proprietary algorithms, and is experiencing rapid growth with opportunities across the globe.

Global

  • Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
  • Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
  • Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.

US

  • Make outbound calls to schedule appointments for preventative health screenings and assess high-risk patients.
  • Assist members with benefits, insurance information, and conduct surveys to enhance their healthcare experience.
  • Work remotely from home in a role that requires strong computer skills, empathy, and excellent customer service.

Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They have over 30 years of experience and foster a collaborative, innovative culture focused on growth and accountability.

US

  • Provide patient-focused telehealth clinical triage assessments and health education via phone, video, and chat.
  • Work independently to make clinical decisions, assess needs, and direct patients to appropriate care levels while documenting interactions.
  • Monitor performance metrics, participate in coaching sessions, and communicate with clients and team members.

Carenet Health is a behind-the-scenes partner for over 250 of the nation's premier health plans and health systems, providing telehealth and virtual care clinical triage assessments and health education. Named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years, the company is integrity-driven and focused on compassionate, evidence-based care.

US

  • Answer calls and resolve questions, routing to appropriate departments.
  • Complete documentation in EMR and marketing systems, including initial prescreening.
  • Schedule new and returning patients and complete follow-up duties.

Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.

  • Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases.
  • Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support.
  • Meet all departmental goals including schedule adherence, attendance, and quality monitoring.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are building trust in healthcare in the U.S. and deploying infrastructure for better care.

US

  • Serve as overflow support for multiple practices by answering and triaging incoming calls and messages from patients and stakeholders.
  • Support patient scheduling and follow-up, including no-show and cancellation tasks, and schedule reshuffles when needed.
  • Handle central communications intake and respond to voicemail and after-hours messages.

Diana Health is a network of modern women’s health practices partnering with hospitals to transform maternity and women's healthcare. They are an interdisciplinary team with strong collaborative care and operational support, focused on continuous learning and improvement.

US

  • Serve as the vital link between members and their dental care by answering 40-60 inbound calls daily, addressing inquiries with compassion and expertise.
  • Capture member information accurately, investigate unresolved issues, and collaborate with internal teams to ensure timely resolutions.
  • Maintain flexibility and compliance with HIPAA, while navigating multiple software systems in a high-volume call center environment.

Avēsis has been providing essential ancillary benefit solutions since 1978, developing and administering programs covering over 8.5 million members. They strive for excellence in member satisfaction and client retention, fostering a culture of inclusivity and diversity.

US

  • Respond to customer calls, manage inquiries, and educate on products and services.
  • Handle payment processing, payment plans, and account-related tasks to enhance customer experience.
  • Maintain accurate customer information and uphold high service standards via effective communication.

Enova International is a leading financial technology company providing online financial services through its AI and machine learning-powered Colossus platform. The company serves non-prime consumers and businesses, employs thousands, and values inclusion and employee development.

US

  • Manage client crises via phone using evidence-based interventions, providing risk assessment and safety planning.
  • Identify and connect clients to ideal treatment options using proprietary software and methods.
  • Independently manage a caseload of complex, multi-need clients, ensuring timely access to care.

Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has delivered more than 15 million sessions of care and is known for its transformative care model that helps people recover twice as fast.

US

  • Handle inbound and outbound calls, texts, and emails to resolve customer inquiries.
  • Document all interactions accurately and manage cases within company systems.
  • Escalate complex issues and collaborate with teams to ensure timely resolution.

Five Star Solutions provides customer service and support solutions. The company values diversity and is committed to a professional, diverse workforce, hiring the best available people.

US 4w PTO

  • Provide outstanding customer service to families over the phone, educating them about evaluation, treatment, and insurance processes.
  • Accurately enter patient registration information and schedule appointments, identifying potential conflicts.
  • Coordinate information between referring physicians, insurance companies, and treatment clinics, handling 40-70 calls daily.

Cranial Technologies is the only company globally dedicated to researching and treating plagiocephaly (flat head syndrome) and providing non-invasive ear shape correction. With over 300,000 babies successfully treated, they are a leader in pediatric cranial shaping and foster a compassionate, family-oriented culture.