Job Details

Job Posting: Customer Service Representative - 100% remote

Training Schedule: MondayFriday on a 1st shift schedule. Post?Training: Candidates may be assigned to multiple shifts, including required weekend shifts. Availability: Must be available for any shift between 8:00 AM 8:00 PM in their time zone. Equipment: All necessary equipment will be provided.

Position Overview

Pay: $17.20-$18.20/hr

This role focuses on supporting members and providers by handling inbound calls related to eligibility, benefits, claims, and service authorizations. The position requires strong communication skills, attention to detail, and the ability to resolve issues using sound judgment.

Responsibilities

• Respond accurately to inbound calls and process inquiries from providers and members.
• Resolve customer service or billing issues under general supervision.
• Contact customers regarding complex inquiries or to communicate claim investigation outcomes.
• Refer unresolved grievances, appeals, and claim issues to the appropriate internal departments.
• Maintain detailed records of customer interactions and transactions.
• Listen actively and ask clarifying questions to fully understand caller needs.
• Research and communicate information regarding member eligibility, benefits, and claim status.
• Educate providers on claim submission processes and treatment plan requirements.
• Perform follow?up tasks to ensure member or provider needs are fully addressed.

Required Skills

• Customer service
• Microsoft Office

Additional Qualifications

• High School Diploma
• Strong computer and data entry skills
• Experience with Microsoft Word and PowerPoint
• Previous customer service or call center experience

Job Type & Location

This is a Contract to Hire position based out of Richmond, VA.

Pay And Benefits

The pay range for this position is $17.20 - $18.20/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre?tax and Roth post?tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long?term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Application Deadline

This position is anticipated to close on Jan 16, 2026.

Equal Opportunity Employer

We are an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.