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Sagility · 1 day ago

Healthcare Customer Service Specialist - Work from Home

United States

Full-time

Remote

Entry Level

1+ years exp

Sagility is a company that combines technology and BPM services with healthcare expertise to enhance member experiences. They are seeking Healthcare Customer Service Specialists to support healthcare members and providers by handling inquiries, scheduling services, and ensuring a positive experience.

BillingConsultingHealth CareTechnical Support

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

Qualification

Healthcare experienceCall center experienceEMR systemsCRM systemsPrivacy regulations knowledgeAppointment schedulingMedical terminologyCommunication skills

Required

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