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$35,000–$40,000/yr
US

  • Provide support to participants and clients regarding eligibility, benefits, claims, and general plan inquiries via phone and email.
  • Document all customer interactions accurately in the call tracking system and navigate multiple systems to assist customers.
  • Maintain confidentiality in accordance with HIPAA standards and contribute to a positive, team-oriented environment.

Customer Service Healthcare Benefits Communication Microsoft Office

20 jobs similar to Customer Service Representative

Jobs ranked by similarity.

$17–$17/hr
US

  • Respond to member calls and emails, providing clear information about benefits, costs, and coverage options.
  • Investigate and resolve benefit-related issues by researching plan details and identifying solutions.
  • Maintain accurate documentation of interactions and case outcomes using internal systems.

  • Connect with customers via phone/email/chat/social media to resolve questions or concerns.
  • Calmly de-escalate issues and escalate interactions when necessary.
  • Track call information for auditing and reporting, and upsell if required.

TP is a leading global provider of digital business services, partnering with top brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity where every employee feels valued.

$33,280–$33,280/yr
US

  • Conduct administrative intake and scripted clinical intake of calls, providing quality customer service to providers and staff.
  • Collect and enter confidential information with high confidentiality, maintaining high-quality documentation standards.
  • Meet key performance indicators like Average Talk Time and quality, while adhering to HIPAA and regulatory standards.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving over 700 clients across 10 industries. With operations in 13 countries and more than 66,000 employees, WNS combines scale, expertise, and execution to create meaningful, measurable impact.

$28–$35/hr
US

  • Serve as the primary point of contact for client questions and service inquiries, ensuring prompt and professional responses.
  • Coordinate with internal teams to track requests, resolve issues, and maintain accurate records in company systems.
  • Assist with onboarding, documentation, and administrative processes while protecting confidential information.

ApTask is a workforce solutions company that provides talent acquisition, staffing, consulting, and permanent placement services. It offers a remote work environment and a collaborative, growth-oriented culture.

US

  • Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
  • Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
  • Support outbound outreach campaigns and accurately document member interactions across multiple systems.

This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.

US

  • Resolve complex consumer issues and advise first-level representatives on high-level issues.
  • Assist policy holders with billing questions and concerns, and support policy changes as requested.
  • Provide recommendations and adjustments to meet policy holders' needs in a fast-paced environment.

TP is a leading global provider of digital business services, partnering with the world's most prominent brands to optimize operations through advanced technology and sustainable business practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion and diversity, providing limitless career advancement.

US

  • Provide exceptional customer service to patients, labs, and pharmacies via phone and chat.
  • Develop deep product knowledge to address inquiries about treatments and appointments.
  • Maintain accurate records of interactions and escalate issues as needed.

Honeydew provides a platform connecting patients to licensed dermatologists and FDA-approved treatments for skin diseases. They have helped over 40,000 patients and are growing rapidly with a mission-driven team.

US

  • Deliver a respectful, compassionate experience for every caller, aiming for one-call resolution.
  • Complete crisis screening assessments and coordinate with crisis teams when immediate intervention is needed.
  • Manage and track referrals in Salesforce, including conducting outbound follow-up calls.

Centerstone is a nonprofit behavioral health system providing mental health and substance use disorder treatments. With thousands of employees, it is a dynamic, well-established organization focused on delivering care that changes people's lives.

US

  • Respond to member and provider inquiries about Medicare benefits, claims, and enrollment via phone and email.
  • Analyze issues, document outcomes, and maintain accurate records in internal systems.
  • Collaborate across departments to resolve service issues and support contact center documentation.

Curana Health provides value-based primary care services for the senior living industry, including skilled nursing facilities and assisted living communities. With over 1,000 clinicians serving more than 1,500 communities across 34 states, the company has experienced rapid growth since 2021 and participates in innovative CMS programs.

Texas

  • Handle inbound calls from members, clients, and facilities with professionalism.
  • Manage 60-80 calls daily, with higher volumes on Mondays.
  • Perform various tasks that increase in complexity as skills progress.

MTM Health provides personalized non-emergency medical transportation to remove community barriers. The company fosters a collaborative and innovative culture with a focus on employee growth and development.

US

  • Handle incoming calls with professional phone etiquette, triaging issues and resolving concerns promptly.
  • Identify and document member, pharmacy, and medical claims concerns, escalating to appropriate teams.
  • Communicate effectively with internal and external customers to ensure first-call resolution and quality care.

Judi Health is a health technology company providing benefit administration solutions to employers, unions, and health plans. We are an intelligence platform powering benefits plans for millions of Americans, focused on operational efficiency and service.

US

  • Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
  • Effectively present and discuss products and services to customers with integrity.
  • Focus on customer retention through first call resolution and enhance member experience.

Capital Blue Cross is a health insurance company providing medical, dental, and vision coverage. It is recognized as a top workplace in Pennsylvania and fosters a supportive culture with flexible work and growth opportunities.

  • Provide superior customer service by handling inquiries and issues promptly and professionally using multiple systems.
  • Ensure first contact resolution and high customer satisfaction while maintaining adherence to defined operational standards.
  • Assist with daily call volume, meet quality assurance requirements, and perform all other duties as assigned.

Globe Life is an insurance company committed to empowering employees with support and opportunities. They foster a caring, innovative culture with a focus on inclusivity and growth.

US

  • Respond professionally to client inquiries via phone, email, and other channels.
  • Maintain accurate customer records, coordinate appointments, and assist with service requests.
  • Perform data entry, prepare reports, and ensure timely resolution of client issues.

Winter Environmental is an award-winning environmental services company specializing in abatement, decommissioning, decontamination, demolition, remediation, and environmental cleanup solutions. Since 1987, the company has completed over 6,000 projects across regulated industries, maintaining a strong commitment to safety, quality, innovation, and exceptional client service.

$40,000–$52,300/yr
US

  • Engage with members by phone to encourage participation in care management programs and complete non-clinical assessments.
  • Identify barriers to care and connect members with appropriate services, benefits, and community resources.
  • Accurately document member interactions and operate effectively in a high-volume, remote call-center environment.

This partner company helps members navigate care management programs and access resources to improve their health and well-being. It operates remotely with a focus on compassionate support and efficient operations, though specific size and culture details are not mentioned.

US

  • Provide direct support to customers navigating healthcare reimbursement, claims, and insurance processes.
  • Assist with verifying benefits, reviewing claims documentation, and maintaining compliant records.
  • Collaborate with internal teams to resolve complex reimbursement issues and improve workflows.

This partner company provides customer reimbursement coordination services for healthcare. They operate remotely and offer a collaborative environment with opportunities for professional development.

US

  • Meet with clients virtually to understand their needs and provide guidance on benefits.
  • Answer questions about benefit programs and explain solutions clearly.
  • Support clients throughout the application and enrollment process with follow-up.

The company provides benefits guidance and coverage options to clients through virtual meetings. It fosters a collaborative remote culture with structured training, ongoing coaching, and leadership development opportunities.

$45,360–$62,370/yr
US

  • Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
  • Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
  • Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.

The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.

  • Manage incoming and outgoing calls, route communications, and assist patients, caregivers, and physicians with accuracy and professionalism.
  • Operate telephone and paging systems, coordinate emergency notifications, and support healthcare operations in a structured environment.
  • Maintain high standards of confidentiality and urgency while handling routine and time-sensitive communications.

This role is listed on behalf of a partner company managing applications. It operates within a large health system, offering career growth in healthcare communications.

US

  • Act as main contact for communicating and collaborating with assigned accounts.
  • Review and verify FMLA and Disability forms for validity and compliance with HIPAA.
  • Provide world-class customer service while handling high call volumes and maintaining patient privacy.

MRO Clinics manages the release of protected health information for multiple healthcare facilities. They are a remote-first company focused on compliance and customer service.