[Hiring] Healthcare Customer Service Representative @the Opportunity

Role Description

We are hiring Seasonal Reimbursement Specialists to support a large-scale annual healthcare benefits and insurance reverification program. This is an excellent opportunity for candidates with experience in:

• Healthcare customer service
• Benefits verification
• Insurance
• Reimbursement
• Patient access
• Pharmacy services
• High-volume call center environments

This is a 100% remote/work-from-home position after equipment pickup, supporting patients with insurance and benefit verification related to prescribed therapies.

IMPORTANT LOCATION & EQUIPMENT REQUIREMENT:

• Must currently reside in North Carolina or South Carolina.
• All selected candidates will be required to pick up their company-provided equipment IN PERSON in Charlotte, NC during the first week of December 2026. Equipment cannot be shipped.
• Candidates must be able to travel to Charlotte for their scheduled pickup date in order to be considered.

Qualifications

• Previous healthcare, insurance, pharmacy, reimbursement, benefits verification, patient access, or medical customer service experience strongly preferred.
• Experience communicating with insurance companies, healthcare providers, pharmacies, or patients is a plus.
• Strong customer service and professional communication skills.
• Comfortable working in a high-volume, metrics-driven environment.
• Strong attention to detail and accurate data-entry/documentation skills.
• Ability to navigate multiple computer systems while communicating by phone.
• Strong research, critical-thinking, and problem-solving skills.
• Reliable attendance and ability to complete the full seasonal assignment.
• Ability to work independently and successfully in a remote environment.
• Must reside in North Carolina or South Carolina.
• Must be able to pick up equipment in person in Charlotte, NC during the first week of December.

Requirements

• Conduct insurance and benefits verification for patients receiving prescribed therapies.
• Contact insurance companies and other payers to confirm eligibility, coverage, benefits, and reimbursement information.
• Review and accurately document patient insurance and benefits information within internal systems.
• Communicate with patients, healthcare providers, pharmacies, payers, and internal teams regarding coverage and benefit information.
• Research and resolve missing, incomplete, or conflicting insurance information.
• Make outbound calls and handle inbound communication as needed to complete benefit investigations.
• Accurately document all interactions and case activity while maintaining patient confidentiality.
• Follow established workflows, quality standards, productivity expectations, and HIPAA requirements.
• Escalate complex reimbursement or coverage issues to the appropriate team members.
• Work collaboratively within a fast-paced, high-volume patient services environment.

Benefits

• This is a great opportunity to gain additional experience within the pharmaceutical patient services and healthcare reimbursement industry while supporting patients during one of the busiest and most important times of the year.
• Candidates with previous experience in benefits verification, reimbursement, patient access, specialty pharmacy, healthcare call centers, insurance verification, or pharmaceutical hub services are strongly encouraged to apply.

Company Description

If you are interested please apply and complete the virtual interview linked below!

Spark Hire Link: https://app.sparkhire.com/job_assessments/a42e3260-52df-43c6-81d6-c478fc0653d8/links/1f9c8efb-afd3-443b-9a3b-f7fb6da0e416