Medical Customer Service Agent

Job Summary

We are seeking a Remote Medical Customer Service Agent for a contract/temporary opportunity supporting a Healthcare Services Organization headquartered in Henderson, NV. This role is ideal for an experienced customer service professional who enjoys helping members, providers, vendors, and health plan representatives resolve questions with accuracy, empathy, and professionalism.

The Medical Customer Service Agent will support inquiries related to eligibility, benefits, claims status, grievances, complaints, coverage determinations, and member services. This opportunity offers the chance to contribute to a collaborative healthcare support team where communication, confidentiality, responsiveness, and service quality are essential.

This is a strong fit for candidates who are detail-oriented, calm under pressure, and motivated by providing a positive customer experience. The work environment values teamwork, supportive leadership, reliable processes, and a service-first approach to helping healthcare customers receive timely and accurate information.

Key Responsibilities

- Answer inbound calls and respond professionally to questions from members, providers, vendors, and health plan representatives.
- Provide accurate information related to eligibility, plan benefits, provider details, vendors, claims status, grievances, complaints, and coverage determinations.
- Research customer inquiries and coordinate with internal and external teams to support timely resolution.
- Review documents for completeness and verify member, provider, vendor, and contract eligibility when applicable.
- Maintain accurate records, notes, and files related to customer communications and service coordination.
- Protect confidential information and follow privacy, disclosure, and organizational compliance policies.

Compensation and Benefits

- Pay range: $18.00 to $22.00 per hour.
- Job type: Contract/Temporary.
- Assignment length: 3 months with possibility of extension.
- Work arrangement: Remote.
- Location: Anywhere in AL.
- Schedule: Monday through Friday, 8 a.m. - 5 p.m. Central Time
- Remote work requirement: Position requires an internet speed test with a minimum download speed of 200 Mbps and upload speed of 20 Mbps. - Remote work requirement: Must be hard wired to a modem or router. Wi-Fi and hotspot connections are not allowed.

Equal Opportunity Employer / Disabled / Protected Veterans

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For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

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We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

Required Qualifications and Skills

- Support inbound healthcare customer service calls in a professional, accurate, and empathetic manner.
- Research and resolve questions related to benefits, eligibility, claims, complaints, grievances, and coverage determinations.
- Document customer interactions and maintain accurate service records.
- Coordinate with internal departments and external partners to support timely issue resolution.

- 3 to 5 years of customer service experience, preferably in healthcare, health plan, member services, provider services, or a related support environment.
- Strong understanding of customer service best practices in a call center or high-volume service setting.
- Ability to communicate clearly and professionally with members, providers, vendors, and health plan representatives.
- Strong attention to detail and ability to review information for accuracy and completeness.
- Ability to handle confidential information and follow privacy, compliance, and disclosure requirements.
- Strong problem-solving skills with the ability to research inquiries and follow through to resolution.
- Comfortable working remotely with a reliable hard-wired internet connection that meets stated speed requirements.
- Ability to remain calm, patient, and professional while assisting customers with sensitive or complex healthcare-related concerns.

Preferred Qualifications

- Previous experience supporting healthcare benefits, eligibility, claims status, grievances, complaints, coverage determinations, or member services.
- Experience working with healthcare providers, health plans, vendors, or third-party administrators.
- Familiarity with HIPAA, healthcare privacy practices, and confidential customer information handling.
- Experience using customer relationship management systems, call tracking tools, claims systems, or healthcare service platforms.