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. Job title Healthcare Customer Service Specialist - Work from Home About Sagility Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
