Healthcare Customer Service Specialist (REMOTE)

GetixHealth is seeking a Healthcare Customer Service Specialist to join their team. The role involves delivering exceptional service and support to patients and clients by handling high-volume calls related to billing, payments, and medical claims.

Responsibilities:

• Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions
• Respond to telephone inquiries using standard procedures and scripts
• Gather required information, research account details, and resolve customer concerns accurately and promptly
• Clearly explain billing information, insurance benefits, and available services to patients
• Assess patient needs and provide appropriate solutions or escalate issues when necessary
• Schedule work to ensure optimal call coverage and maintain daily productivity
• Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals
• Support department initiatives and contribute to continuous improvement efforts
• Maintain strict adherence to HIPAA regulations and confidentiality policies
• Assist with department goals and recommend improvements to enhance efficiency
• Perform other duties as assigned to support the team and organizational success

Requirements:

• High School Diploma or GED required; additional education is a plus
• 1–2 years of customer service experience required
• Strong verbal, written, and interpersonal communication skills
• Excellent problem-solving abilities with a calm, empathetic approach
• High attention to detail and accuracy
• Ability to work independently and collaboratively to meet and exceed performance goals
• Comfort using Microsoft Office Suite and adapting to new technologies
• Strong attendance and reliability
• Bilingual (Spanish) preferred (not required)
• Healthcare, insurance, or medical collections experience preferred
• Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred
• Basic understanding of medical terminology and the healthcare revenue cycle
• Proven experience working with multiple systems and databases in a fast-paced environment
• Bilingual abilities are a plus