Evry Health · 20 hours ago
REMOTE (CST/EST): Commercial Health Call Center Representative
United States
Full-time
Remote
Entry Level
2+ years expEvry Health is seeking Call Center Representatives to support its significant growth. The role involves providing accurate information on commercial health plan benefits, handling inbound and outbound calls, and delivering exceptional customer service to members and providers.
Health CareHealth InsuranceInsurancePersonal Health
Responsibilities
Research, review and respond to inquiries received from members and providers
Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously, and professionally
Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure
Leverage company policies and procedures, benefits, claims, and eligibility to respond accurately to all inquiries
Handle member complaints and complaint appeals
Work with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner
Demonstrate basic understanding of company billing guidelines and effectively interpret inquiries related to claims and claim payments
Accurately document all calls
Recognize trends and patterns in call types and engage leadership with suggested solutions
Meet and maintain established department production and quality standards, on both an individual and team basis
Assist members with navigating the member portal while encouraging them to becoming self-sufficient with our tools
Demonstrate personal responsibility and accountability by meeting attendance and schedule adherence expectations
Effectively excel in a virtual work environment through active participation in team huddles, supervisor 1:1s, instant messaging, and check-ins
Qualification
Required
At least two years of experience in customer service supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy) is required
Eligible candidates must live in/work from the United States in either the CST or EST time zone
Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance
Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes
Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience
Comfort working in a fast-paced, deadline-oriented work environment
Strong attention to detail and problem-solving skills with a high level of accuracy
Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc
Prior experience using a CRM, preferably SalesForce
Required to have a dedicated work area established that is separate from other living areas and provides information privacy
Ability to keep all company sensitive documents secure
Must live in a location that receives an existing high-speed internet connection/service
Preferred
Bonus: fluency in Spanish
Benefits
Comprehensive health, dental, and vision insurance as well as life and disability
Retirement savings plan with company match
Generous time off/vacation
Professional development opportunities
Flexible and remote work environment
Company
Evry Health
Evry Health makes healthcare affordable and high quality again by providing expanded benefits at an affordable price.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$7.49MKey Investors
Y Combinator
2023-10-13Acquired
2021-06-30Series Unknown· $7.32M
2021-05-14Series A· $0.05M
Leadership Team
Chris Gay
CEO
Jay Startz
COO & Co-Founder
Recent News
2026-01-08
Behavioral Health Business
2025-06-25
Company data provided by crunchbase