Healthcare Customer Service Representative (California Residents Only)

Overview: Our client, a US Fortune 500 company and a provider of managed Health care, Pharmacy benefits & specialty areas for managed care organizations/employers / government agencies, seeks an accomplished Healthcare Customer Service Representative.

Candidate must be authorized to work in USA without requiring sponsorship

* • ********************************************************************** • ** Location: Remote - California Residents Only

• ** Duration: 6+ months contracts

Work Schedule:

• Start time: 8:00 or 8:30am End time: 4:30 or 5pm
• First 26 days on assignment consists of training and introduction of the role

Job Summary: Client is seeking Customer Experience Associates to support members and providers by delivering an exceptional service experience through inbound/outbound call handling, benefit inquiries, and care facilitation. This role is critical to ensuring seamless access to healthcare services, benefits clarification, and proper documentation across internal systems. Job Description:

• Provide service to members, providers, and clients regarding healthcare benefits, claims, eligibility, and program inquiries.
• Handle high-volume inbound/outbound calls while maintaining PHI confidentiality.
• Educate providers on EAP services, authorization status, and claim details.
• Navigate internal systems to log and update patient/caller information accurately.
• Participate in training, remain up to date with operational changes, and support continuous improvement.
• Demonstrate compassion, flexibility, and responsiveness to customer needs and inquiries.
• Assist in identifying and escalating crises or critical issues when necessary.
• Support team engagement and assist with performance and quality improvement initiatives.

Must-Have Skills:

• 2+ years of customer service experience (preferably in a call center setting)
• Adequate hardwired internet connection (minimum 100–300 Mbps; no Wi-Fi or hotspots)
• Secluded and distraction-free workspace
• Strong communication, documentation, and organizational skills

Nice-to-Have

Skills:

• Healthcare background (e.g., UnitedHealthcare, Kaiser, Caremark)
• HIPAA knowledge
• Familiarity with benefit administration or EAP support

Education: Associate (Preferred), High school diploma or GED required

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I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Sam Banga Lead Recruiter Company Overview: Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally; as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward. Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws. Apply Job! Apply to this Job