Healthcare Contact Center Agent – Remote US (Any city, TX, US, 99999)

About This Opportunity

Our talent team is representing a confidential healthcare technology client seeking a Healthcare Contact Center Agent to join their remote team. This is a fully remote position available to candidates across the United States who are passionate about delivering exceptional service to healthcare members and providers.

In this role, you'll be the frontline support for healthcare inquiries, handling inbound and outbound communications while maintaining strict compliance with healthcare regulations. You'll research claims, verify coverage, resolve member and provider questions, and ensure every interaction reflects professionalism and empathy.

Responsibilities

• Answer incoming calls promptly and professionally, addressing member and provider inquiries, and make outbound calls as needed
• Remain calm and professional in high-pressure situations while maintaining quality service standards
• Accurately document all interactions in system databases, ensuring records are updated and complete
• Maintain strict confidentiality and comply with HIPAA and other healthcare regulations
• Escalate complex issues to supervisors or appropriate departments when necessary
• Meet or exceed performance metrics including call scripting adherence, quality guidelines, call handle time, and customer satisfaction targets
• Adhere to a daily work, lunch, and break schedule to support service level requirements

What We're Looking For

• High school diploma or equivalent required; associate degree or healthcare certification preferred
• 1+ years of experience in a call center or customer service role, preferably in a healthcare setting
• Knowledge of Medicaid/Medicare programs and state healthcare guidelines, or willingness to quickly learn complex program policies
• Strong communication skills with demonstrated empathy and active listening abilities
• High attention to detail for compliance-driven processes and conflict resolution skills
• Must speak, read, and write proficient English; bilingual skills are a plus
• Ability to multitask and navigate multiple systems simultaneously
• Proficiency in Microsoft Office and call center software
• Familiarity with medical terminology and insurance processes is a plus
• Must be available to work a designated 8.5-hour shift Monday through Friday between 7am and 6pm Eastern Time
• Ability to remain in a stationary position for extended periods while using computer and telephone headset
• Regular attendance and punctuality are essential

How We Work With You

When you apply through Get A Job.ai, our recruiting team will review your qualifications and conduct an initial screening. If there's a strong match, we'll submit your profile to our client for consideration. Please do not contact the client directly—we manage the entire introduction and interview coordination process on your behalf.

Pay

This is a full-time, salaried position. Our client offers competitive compensation along with benefits including flexible vacation policy, 401(k) employer match, comprehensive health benefits, and educational assistance.

Get A Job.ai is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and candidates.