Healthcare Support Representative

We are seeking a compassionate, detail-oriented, and service-driven Healthcare Support Representative to join our remote patient services team. In this role, you will serve as the primary point of contact for patients, healthcare providers, and insurance partners, ensuring a seamless support experience while maintaining strict compliance with healthcare regulations.

The ideal candidate resides in the United States, has prior experience in healthcare or customer support, and demonstrates strong communication skills, empathy, and the ability to handle sensitive medical information with discretion.

Key Responsibilities

Serve as the first point of contact for patients, members, and healthcare providers via phone, email, and chat.

Assist patients with appointment scheduling, referrals, billing inquiries, insurance verification, and benefit explanations.

Provide accurate information regarding services, treatment options, coverage policies, and healthcare programs.

Document all interactions in CRM and Electronic Health Record (EHR) systems accurately and in compliance with HIPAA guidelines.

Escalate complex clinical or administrative issues to the appropriate internal teams.

Coordinate with insurance carriers to verify eligibility, claims status, and authorizations.

Support patient onboarding and provide guidance on telehealth platforms or digital healthcare tools.

Resolve inquiries professionally while maintaining patient confidentiality and satisfaction.

Maintain up-to-date knowledge of healthcare regulations, payer requirements, and internal policies.

Meet or exceed key performance metrics including response time, resolution rate, and quality assurance standards.

Required Qualifications

Must reside in the United States with valid authorization to work.

High school diploma or equivalent required; Associate or Bachelors degree in Healthcare Administration, Public Health, or related field preferred.

Minimum 1–2 years of experience in healthcare customer service, patient services, medical office support, or call center environment.

Familiarity with HIPAA compliance and handling Protected Health Information (PHI).

Experience with EHR/EMR systems (e.g., Epic, Cerner) preferred.

Strong verbal and written communication skills.

Excellent problem-solving and conflict-resolution abilities.

Proficiency in Microsoft Office Suite and CRM platforms.

Ability to multitask and work independently in a remote environment.

Preferred Qualifications

Experience in insurance verification or medical billing.

Bilingual (English/Spanish) is a plus.

Knowledge of Medicare, Medicaid, and commercial insurance plans.

Prior experience supporting telehealth services.

Work Environment & Technical Requirements

Fully remote position (U.S.-based only).

Reliable high-speed internet connection.

Quiet, secure home workspace.

Ability to work scheduled shifts, including occasional evenings or weekends if required.

Company-provided equipment (or stipend depending on company policy).

Compensation & Benefits

Comprehensive health, dental, and vision insurance.

401(k) with company match.

Paid Time Off (PTO) and paid holidays.

Remote work flexibility.

Employee wellness programs.

Ongoing training and professional development opportunities.

Career growth within healthcare operations and patient services.

Core Competencies

Empathy & Patient Advocacy

Attention to Detail

Compliance & Confidentiality

Communication Excellence

Team Collaboration

Time Management

Equal Opportunity Statement

We are an Equal Opportunity Employer and are committed to fostering a diverse and inclusive workplace. All qualified applicants will receive consideration without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability, or veteran status.