Customer Service Specialist (Healthcare)

Location: Remote work from home; preferred states are Alabama, Arizona, Florida, Georgia, Idaho, Indiana, Maryland, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, and Virginia. Training hours are 10:30 a.m.–7:15 p.m. Eastern Time, Monday–Friday. After training, shifts range from 9 a.m.–10 p.m. Eastern Time, Monday–Friday, with possible weekend work.

Salary: $19 USD per hour.

Company

hirify.global provides customer service support related to healthcare benefits, claims, pharmacies, and billing verification.

What you will do

• Resolve phone inquiries related to claims adjudication, eligibility verification, prior authorization, pharmacy benefits, ancillary benefits, and billing verification.
• Build trusted relationships with clients, claimants, and pharmacies through accurate and professional service.
• Translate healthcare terminology and complex processes into clear, step-by-step instructions.
• Handle difficult customer situations with patience, compassion, flexibility, and a customized communication approach.
• Work with team leads, supervisors, and managers to resolve customer issues and maintain service quality.
• Follow attendance, punctuality, quality, shift, overtime, weekend, and holiday requirements.

Requirements

• Must be located in one of the preferred hiring states listed above; hiring is not available in every state.
• High school diploma, GED, or an equivalent combination of education and experience.
• One to two years of related customer service and/or healthcare experience.
• Knowledge of Windows-based applications, ability to multitask with dual monitors, and accurate keyboard data entry.
• Strong verbal and written communication, listening, organization, reasoning, problem-solving, attention to detail, patience, and professionalism.
• Must provide reliable high-speed internet and a private, distraction-free workspace at home.

Nice to have

• Previous administrative business environment experience.
• Previous healthcare industry experience.

Culture & Benefits

• Work-from-home model with a company-provided laptop.
• Healthcare, dental, vision, disability, and life insurance coverage, subject to eligibility.
• Paid time off, paid holidays, and applicable statutory benefits.
• 401(k) contribution, wellness resources, and recognition programs.
• Travel to meetings and locations throughout the country may occasionally be required.