Healthcare Customer Service Specialist - Work from Home

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.Job title:Healthcare Customer Service Specialist - Work from HomeJob Description:BroadPath a Sagility Company is hiring experienced Healthcare Customer Service Specialists to join our remote team! These roles support healthcare members, patients, and providers by handling inbound and outbound calls, resolving inquiries, scheduling services, and ensuring a positive, professional experience.We are looking for customer focused professionals with healthcare, insurance, or call center experience who can adapt quickly, communicate clearly, and deliver exceptional service.Compensation HighlightsBase Pay: Starting at $14 per hour for training, with an increase after transitioning to productionPay frequency: Weekly paySchedule HighlightsSchedules can fall between the hours of 8:00 AM - 9:00 PM Eastern Time and will be assigned based on business needsResponsibilitiesAnswer inbound calls and place outbound calls to assist members or patients with inquiries, benefits, scheduling, and service coordinationProvide accurate information about health plan benefits, eligibility, and coverageSchedule, reschedule, and confirm appointments with healthcare providersProcess referrals, authorizations, prescription renewals, and other requestsAssist members or patients with claims questions, billing inquiries, and account updatesReview insurance or plan eligibility and update records in the systemMaintain accurate documentation in electronic systems, including EMR or CRM toolsCommunicate with providers and internal teams via phone, secure messaging, or emailProtect member and patient confidentiality and follow HIPAA or applicable privacy guidelinesEscalate complex issues to the appropriate team or supervisor for resolutionQualificationsHigh School Diploma or equivalent1+ year of call center customer service experience handling high call volume1+ 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 reliabilityKnowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion, ensuring full compliance in a remote work environmentStrong verbal and written communication skillsAbility to navigate multiple systems and maintain accuracy while handling callsComfortable working in a remote environment with a designated, private workspaceDemonstrated stable work history with a track record of reliabilityCommitment to a long-term role and building a career with the organizationReliable high-speed internetPreferred QualificationsExperience with appointment scheduling or benefits inquiriesFamiliarity with electronic medical records (EMR) or customer relationship management (CRM) systemsExperience with EPIC, Facets, or similar applicationsKnowledge of medical and/or insurance terminologyAt BroadPath a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.What to Expect:On-camera participation during interviews, training, team meetings, and regular check-ins.Face-to-face discussions sparking collaboration and engagementA supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.Benefits:Medical, Dental, and Vision coverage.Life Insurance.Short-Term and Long-Term Disability options.Flexible Spending Account (FSA).Employee Assistance Program.401(k) with employer contribution.Paid Time Off (PTO).Tuition Reimbursement.BroadPath a Sagility Company may conduct background checks, previous employment verifications, and education verifications, based on position requirementsDiversity StatementAt BroadPath a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!Equal Employment Opportunity/Disability/Veterans If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the