Customer Service Agent at HealthEdge®

HealthEdge is seeking a detail-oriented and customer-focused Customer Service Agent to join its team and provide exceptional support to customers through inbound and outbound call center operations.

HealthEdge® provides AI-powered operational solutions that help health insurance organizations strengthen their financial performance and remain competitive in a rapidly evolving healthcare industry.

With increasing numbers of health plans adopting its technology to modernize operations and improve efficiency, HealthEdge continues to grow and invest in the talented professionals driving its success.

This is an exciting opportunity to join the company and contribute to the advancement of healthcare technology.

Position Overview

Reporting to the Customer Service Manager, the Customer Service Associate will deliver high-quality support to UST customers through inbound call center operations.

The service center operates between 8:00 a.m. and 9:00 p.m. Eastern Time, with employee schedules arranged to meet operational requirements.

Key Responsibilities

• Answer incoming customer calls and provide timely, effective assistance.
• Make outbound calls when requested to address customer needs or follow up on outstanding matters.
• Accurately record call details and customer interactions in ticketing and tracking systems.
• Respond to customer questions and provide the necessary information within established service timelines.
• Serve as a communication link between healthcare providers and the claims department.
• Investigate customer claims using primary payer systems and relevant records.
• Maintain a consistently high standard of customer service throughout every interaction.
• Complete additional responsibilities as assigned to support team and business objectives.

Required Qualifications and Skills

• High school diploma or equivalent is required.
• Two to three years of experience in healthcare claims processing, claims operations, or a call center environment.
• Familiarity with Medicare and Medicare Advantage plans is preferred.
• Ability to develop and maintain a thorough understanding of covered plan benefits.
• Excellent verbal and written communication skills.
• Strong attention to detail, analytical thinking, and problem-solving abilities.
• Basic proficiency in Microsoft Office applications, particularly Word and Excel.

Employment Details

• Work location: Remote within the United States
• Employment type: Full-time, permanent
• FLSA classification: Non-exempt (US only)
• Work schedule: Shifts scheduled between 8:00 a.m. and 9:00 p.m. Eastern Time

Work Environment and Physical Requirements

The role may require employees to move around an office occasionally and perform extended periods of work at a computer, including using video technology.

Employees must be comfortable collaborating across multiple time zones in a remote or hybrid setting. Occasional travel may also be required depending on business needs.

Candidates should be able to meet the position’s essential requirements, with reasonable accommodations available for qualified individuals with disabilities in accordance with applicable law.

Additional Information

This description outlines the general responsibilities and qualifications associated with the position and is not intended to cover every possible duty.

HealthEdge may revise responsibilities or assign additional tasks as business needs evolve.

Applicants may be required to complete a criminal background check before employment.

Equal Employment Opportunity

HealthEdge is an equal opportunity employer committed to fostering a diverse and inclusive workplace.

The company encourages qualified candidates from all backgrounds to apply, including women, racial and ethnic minorities, veterans, and individuals with disabilities.

Salary and Compensation

The advertised US pay range for this position is $18–$21 per hour. The final hourly rate depends on factors such as the candidate’s skills, professional experience, qualifications, education, and the level of the role.