Healthcare Customer Service Representative - Remote

Imagenet is a technology-forward healthcare operations partner supporting healthcare payers with administrative and operational processes. The Healthcare Customer Service Representative will verify insurance eligibility and benefits, maintain patient and insurance information, communicate with patients, and collaborate with internal teams to resolve coverage discrepancies while ensuring HIPAA compliance.

Responsibilities:

• Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
• Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system
• Document key benefit details including copayments, deductibles, coinsurance, and out-of-pocket maximums
• Communicate with patients to clarify insurance coverage and respond to basic inquiries
• Collaborate with clinical and billing teams regarding eligibility and authorization status
• Identify and resolve discrepancies in insurance information; escalate complex cases as needed
• Maintain compliance with HIPAA and patient privacy regulations
• Verify insurance eligibility and benefits using payer portals, phone calls, and verification tools
• Update and maintain patient demographic and insurance data in the Electronic Health Record (EHR) system
• Update and maintain patient demographic and insurance data in internal systems
• Document benefit details: copayments, deductibles, coinsurance, out-of-pocket maximums
• Communicate clearly and professionally with patients regarding coverage
• Collaborate with internal teams to resolve discrepancies and escalate complex cases
• Ensure compliance with HIPAA and privacy regulations

Requirements:

• • 1–2 years of experience in a healthcare call center or healthcare administration (insurance verification, patient registration, or medical billing)
• • Familiarity with health insurance terminology: copay, deductible, coinsurance, HMO, PPO, subscriber
• • Basic understanding of government-sponsored plans (Medicaid and Medicare) and their differences
• • Proficient in navigating healthcare systems; experience with EHRs preferred
• • Demonstrated excellence in customer service and client interaction
• • Clear and professional communication skills
• • High Speed Internet of 25MBPS download and 5MBPS upload
• • Ability to directly hardwire to your modem
• • Required to have a quiet dedicated work area
• • Experience in high-volume healthcare settings (e.g., specialty practices, call center)
• • Familiarity with major insurance payers
• • Strong adherence to daily schedules, tasks, and performance metrics
• • Ability to multitask effectively while maintaining high attention to detail
• • Self-motivated, well-organized, and skilled in time management and problem-solving
• • Capable of working independently and collaboratively within a team environment