医疗客户服务中心专员 - 家庭办公
Healthcare Customer Service Specialist - Work from Home
Sagility 将行业领先的科技与以转型为导向的流程管理服务,结合数十年的医疗保健领域专业知识,帮助客户更贴近其会员。公司通过临床、个案管理、会员参与、供应商解决方案、支付准确性、理赔成本控制和分析等服务,优化整个会员/患者体验。Sagility 在5个国家拥有超过25,000名员工。
职位名称:
居家办公医疗客户服务中心专员职位描述:
BroadPath 是 Sagility 公司旗下品牌,正在招聘有经验的医疗客户服务中心专员加入我们的远程团队!这些职位通过处理来电和外拨电话、解决咨询、安排服务,确保为医疗会员、患者和供应商提供积极、专业的体验。
我们寻找以客户为中心的专业人士,具备医疗、保险或呼叫中心经验,能够快速适应、清晰沟通并提供卓越服务。
薪资亮点
- 基础薪资:培训期间起薪为每小时14美元,转为生产模式后薪资会提升
- 薪资发放频率:每周发放
排班亮点
· 排班时间可能在东部时间上午8:00至晚上9:00之间,将根据业务需求进行安排
职责
- 接听来电并外拨电话,协助会员或患者处理咨询、福利、预约和服务协调
- 提供关于健康计划福利、资格和覆盖范围的准确信息
- 与医疗供应商安排、重新安排和确认预约
- 处理转诊、授权、处方续方和其他请求
- 协助会员或患者处理理赔问题、账单咨询和账户更新
- 审核保险或计划资格,并在系统中更新记录
- 在电子系统中保持准确的文档记录,包括 EMR 或 CRM 工具
- 通过电话、安全消息或电子邮件与供应商和内部团队沟通
- 保护会员和患者的隐私,遵守 HIPAA 或相关隐私指南
- 将复杂问题上报给相应团队或主管进行解决
- 要求
- 高中文凭或同等学历
- 1年以上呼叫中心客户服务经验,能处理高通话量
- 1年以上医疗或医疗保险经验(会员服务、患者服务、供应商服务、福利支持等)
查看英文原文
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Healthcare Customer Service Specialist - Work from HomeJob Description:
BroadPath a Sagility Company is hiring experienced Healthcare Customer Service Specialists to join our remote team! These roles support healthcare members, patients, and providers by handling inbound and outbound calls, resolving inquiries, scheduling services, and ensuring a positive, professional experience.
We are looking for customer focused professionals with healthcare, insurance, or call center experience who can adapt quickly, communicate clearly, and deliver exceptional service.
Compensation Highlights
- Base Pay: Starting at $14 per hour for training, with an increase after transitioning to production
- Pay frequency: Weekly pay
Schedule Highlights
· Schedules can fall between the hours of 8:00 AM - 9:00 PM Eastern Time and will be assigned based on business needs
Responsibilities
- Answer inbound calls and place outbound calls to assist members or patients with inquiries, benefits, scheduling, and service coordination
- Provide accurate information about health plan benefits, eligibility, and coverage
- Schedule, reschedule, and confirm appointments with healthcare providers
- Process referrals, authorizations, prescription renewals, and other requests
- Assist members or patients with claims questions, billing inquiries, and account updates
- Review insurance or plan eligibility and update records in the system
- Maintain accurate documentation in electronic systems, including EMR or CRM tools
- Communicate with providers and internal teams via phone, secure messaging, or email
- Protect member and patient confidentiality and follow HIPAA or applicable privacy guidelines
- Escalate complex issues to the appropriate team or supervisor for resolution
Qualifications
- High School Diploma or equivalent
- 1+ year of call center customer service experience handling high call volume
- 1+ year of healthcare or health insurance experience (member services, patient services, provider services, benefits support, or similar)
- Previous job tenure of at least 6 months per role, reflecting stability and reliability
- Knowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion, ensuring full compliance in a remote work environment
- Strong verbal and written communication skills
- Ability to navigate multiple systems and maintain accuracy while handling calls
- Comfortable working in a remote environment with a designated, private workspace
- Demonstrated stable work history with a track record of reliability
- Commitment to a long-term role and building a career with the organization
- Reliable high-speed internet
Preferred Qualifications
- Experience with appointment scheduling or benefits inquiries
- Familiarity with electronic medical records (EMR) or customer relationship management (CRM) systems
- Experience with EPIC, Facets, or similar applications
- Knowledge of medical and/or insurance terminology
At BroadPath a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.
What to Expect:
- On-camera participation during interviews, training, team meetings, and regular check-ins.
- Face-to-face discussions sparking collaboration and engagement
- A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.
Benefits:
- Medical, Dental, and Vision coverage.
- Life Insurance.
- Short-Term and Long-Term Disability options.
- Flexible Spending Account (FSA).
- Employee Assistance Program.
- 401(k) with employer contribution.
- Paid Time Off (PTO).
- Tuition Reimbursement.
BroadPath a Sagility Company may conduct background checks, previous employment verifications, and education verifications, based on position requirements
Diversity Statement
At BroadPath a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Location:
Work@Home USAUnited States of AmericaOriginally posted on Himalayas