Healthcare Customer Service Representative - Remote

Healthcare Customer Service Representative

We are seeking a detail-oriented Healthcare Customer Service Representative to join our call center team. This role is essential in verifying insurance eligibility and benefits prior to patient services, ensuring accurate data entry and a smooth experience for both patients and internal teams. The ideal candidate thrives in a fast-paced, high-volume environment and delivers excellent customer service over the phone.

Job Type : Full-time - 100% Remote Position

Schedule : Monday-Friday

Pay: $16.00 - $18.00 per hour DOE

Key Responsibility:

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) system

Document key 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 and billing 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

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) system

Update and maintain patient demographic and insurance data in internal systems

Document benefit details: copayments, deductibles, coinsurance, out-of-pocket maximums

Communicate clearly and professionally with patients regarding coverage

Collaborate with internal teams to resolve discrepancies and escalate complex cases

Ensure compliance with HIPAA and 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

Preferred Experience:

Experience in high-volume healthcare settings (e.g., specialty practices, call center)

Familiarity with major insurance payers

Strong adherence to daily schedules, tasks, and performance metrics

Ability to multitask effectively while maintaining high attention to detail

Self-motivated, well-organized, and skilled in time management and problem-solving

Capable of working independently and collaboratively within a team environment

WORK FROM HOME REQUIREMENTS

High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to provide a speed test.

Ability to directly hardwire to your modem

Required to have a quiet dedicated work area.

What We Offer:

Paid training period

Medical, Dental, Life, Vision, HSA, 401K

7 Paid Holidays with no wait time to qualify

6 PTO days (after 90 days)

Equipment provided

About Imagenet

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.

Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.

Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.

Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.