Healthcare Call Center Representative

About This Healthcare Call Center Representative Role

VXI is hiring for a Healthcare Call Center Representative position connected to Remote, US. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

The role appears to focus on accurate account work, structured documentation, research, and timely follow-through. Candidates should review the official posting carefully before applying because employer needs, schedules, location rules, and application requirements can change.

Key Responsibilities

Daily Work You May Handle

• Manage inquiries related to member services, Medicare, billing, benefits, claims, and authorizations
• Address and document incoming customer questions
• Handle complex calls related to healthcare product lines
• Research issues across multiple systems
• Coordinate with health plan, medical group, and facility personnel
• Analyze customer concerns and initiate service recovery steps
• Document all member interactions according to procedures
• Explain copays, deductibles, claims, authorizations, benefits, provider networks, and coverage policies
• Support Medicare and Medicaid plan-related inquiries
• Meet contact center KPIs including call handling, first-call resolution, and member retention

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• High School Diploma or GED
• Minimum 2 years of customer service or healthcare member-interaction experience
• Strong written and verbal communication skills
• Strong analytical and problem-solving ability
• Ability to respond clearly and concisely to customer questions
• Strong critical thinking skills
• Typing speed of at least 35 WPM with 5% or lower error rate
• Ability to use multiple systems and screens

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Preferred Qualifications

Helpful Background for Stronger Applicants

• Previous call center experience
• Health insurance industry experience
• Medicare or Medicaid experience
• Experience with CRM, EMR/EHR, or ticketing platforms
• Healthcare benefits or billing support experience

Phone Level and Work Style

Bellencia phone-level estimate: High Phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Healthcare Customer Service / Member Services work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: not listed in the pasted posting. Schedule: not clearly listed. Job type: Full-time. Location or work arrangement: Remote, US. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Healthcare Call Center Representative, Medical / Healthcare, Healthcare Customer Service / Member Services, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.