Remote Customer Service Intake Specialist

Randstad Digital Americas is seeking empathetic, detail-oriented Customer Service Intake Specialists to join their dedicated healthcare team. In this role, you will serve as the primary lifeline for patients and healthcare providers, resolving non-clinical concerns and ensuring timely support for patients.

Responsibilities:

• Serve as the main point of contact for healthcare providers and plan members, delivering high-quality, empathetic support with a focus on first-call resolution
• Research member eligibility, verify provider status, and process care authorization requests efficiently
• Guide callers on necessary clinical documentation to reduce unnecessary transfers to clinical teams
• Clearly communicate appeal, denial, and case status updates to members and providers while strictly safeguarding Protected Health Information (PHI/HIPAA)
• Comfortably handle an average volume of 50–100 inbound/outbound inquiries daily in a fast-paced care center setting

Requirements:

• High School education
• 1 year of experience
• Basic Software Skills
• Active Listening
• Telephone Etiquette
• Empathy
• Basic Computer Skills
• Customer Service
• Typing Skills
• HIPAA knowledge
• CRM knowledge
• Adapting to Change
• Verbal Communication