Healthcare CSR - 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…