Healthcare Customer Service Representative

Everise

. Professionally handle a high volume of incoming calls .

Posted 10/7/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong decision-making and analytical abilities while effectively handling high volumes of customer inquiries in a healthcare context. Proficient in utilizing multiple systems to assess customer needs and provide accurate information regarding healthcare benefits.

Highest-signal resume keywords

Healthcare Background ExperienceMedical Terminology ProficiencyStrong Decision-Making AbilitiesCustomer Needs AssessmentAbility to Navigate Multiple Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Call DispositionOne-Call ResolutionCustomer Information DocumentationProcess Improvement IdentificationAttendance Compliance

Soft Skills

DependabilityTeam PlayerIntegrityCommitment to Customer SatisfactionFlexibility

Tools & Technologies

Wired Ethernet ConnectionBroadband InternetHeadset

Certifications & Qualifications

High School Diploma or GED

Industry Keywords

Healthcare BenefitsCustomer ServiceSenior Citizens CarePerformance Metrics

About the role

Key responsibilities & impact

Professionally handle a high volume of incoming calls
Gather customer information, assess and fulfill customer needs, and educate customers regarding products and services
Answer questions related to healthcare benefits for clients’ members
Resolve customer issues using one-call resolution guidelines and/or escalated processes
Meet or exceed company and client performance metrics
Balance company policy and client benefit in decision-making
Identify opportunities for process improvements benefiting the client and customers
Complete call disposition and document customer information as required
Accept and embrace changes in the business environment

Requirements

What you’ll need

High school diploma or GED
Ability to pass a drug screen and background check
Healthcare background experience is a plus
Comfortable with medical terminology
Dedicated work area free from distractions and background noises
Wired Ethernet connection with 50 Mb/s download and 10 Mb/s upload speeds; wireless access is not permitted
Hard-wired broadband internet via DSL, cable, or fiber optic
Satellite, microwave, and cellular hotspot internet services are not permitted
Must purchase a headset
Ability to utilize and navigate multiple systems simultaneously
Dependable and able to meet attendance requirements
Flexibility to work weekends, evenings, holidays, and occasional overtime
Strong decision-making and analytical abilities
Ability to identify customer needs and articulate products and services
Highly developed integrity and commitment to customer satisfaction
Team player
Demonstrated passion for excellence in treating and caring for customers, especially senior citizens

Benefits

Comp & perks

Additional cash incentives to reach goals
Medical benefits
Dental benefits
Vision benefits
401K benefits
Earned PTO
One 21” monitor provided by Everise
Keyboard provided by Everise
Mouse provided by Everise
Webcam provided by Everise
Global, people-first company culture
Work-at-home program