Remote Customer Service Advocate

Position Overview

Join Imagenet and experience a fulfilling career in healthcare. As aHealthcare Customer Service Advocate, you will be responsible for taking member services calls regarding policy management,benefitsand claim inquiries. In this full-time, 100% Remote position, you will provide exceptional customer service by accurately relaying information, processing applications, and ensuring compliance. Schedule: Monday – Friday (11:00am–8:00pm EST | 10:00am–7:00pm CT).

Key Responsibilities

• Manage inbound and outbound calls, providing member and provider support while addressing inquiries on membership options,benefits, and claim statuses.
• Review, verify, and process membership applications to ensure completeness and accuracy.
• Maintain and update member information in CRM systems, ensuring data integrity across multiple client accounts.
• Perform quality assurance audits by documenting call interactions and outcomes, ensuring adherence to regulatory guidelines.
• Coordinate with internal teams—including IT, customer service, and quality assurance—to resolve issues and enhance service delivery.
• Handle specific tasks such as receiving inbound calls regarding authorization requests (both inpatient and outpatient services), managing re-direct requests, and processing re-fax authorization documents.
• Continuously identify and implement process improvements to boost operational efficiency and client satisfaction.

Required Qualifications

• High School Diploma or GED is required.
• 2–4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related fields.
• Solid understanding of healthcare claims, benefits, and policy processes including knowledge of ICD-9 and ICD-10 coding.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience with CRM systems or membership databases.
• Strong typing and data entry skills with the ability to manage multiple systems simultaneously.
• Clearance of a background check is required.
• Excellent communication, problem-solving, attention to detail, and multitasking abilities.
• WORK FROM HOME REQUIREMENTS: High-speed Internet (minimum 25MBPS download and 5MBPS upload with proof of a speed test), ability to directly hardwire equipment to your modem, and a quiet dedicated work area.

Benefits & Perks

• Paid Training Period
• Medical, Dental, Life, Vision, HSA, 401K
• PTO
• Equipment provided