Top 77 Facets claims Jobs in Remote

Healthcare Customer Service Specialist - Work from Home
Sagility —Remote
- From $14 an hour
- Email
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Payment Analyst, Healthcare
Signature Performance, Inc —Remote
- $118,000 a year
- Full-time
- Background check
- 5 years
- System design
- Paid holidays
- Disability insurance
Quick Apply
Benefit Adjuster III - Leave Services
American Fidelity Assurance —Remote
- $24.17 - $35.87 an hour
- Overtime
- Remote
- Research
- Mid-level
- Windows
Manager of Member and Provider Service
WellSense Health Plan —Remote
- $69,500 - $101,000 a year
- Full-time
- Background check
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Business Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $60,840 - $120,835 a year
- Online Application
- Remote
- Computer Science
- Mid-level
- 3 years
- 401(k)
Quick Apply
Sr. Data Analyst- Remote
Sharecare —Remote
- Full-time
- Remote
- Microsoft Access
- Computer Science
- Writing skills
Claims Subject Matter Expert (Managed Care)
Clearlink Partners —Remote
- $130,000 - $190,000 a year
- Monday to Friday
- HIPAA
- English
- Research
Quick Apply
Behavioral Health Specialist
WellSense Health Plan —Remote
- $23.08 - $32.45 an hour
- Overtime
- Background check
- Nursing
- Mid-level
- Health insurance
- Dental insurance
5d
Claims Adjudicator
WellSense Health Plan —Remote
- $18.27 - $25.72 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
1d
Crop Compliance Reviewer
Palomar Holdings, Inc. —Remote
- $60,000 - $75,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- 3 years
- Health insurance
- Paid time off
Payment Cycle Analyst III
CareSource —Remote
- $72,200 - $115,500 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- 5 years
Operations Specialist II
CareSource —Remote
- $62,700 - $100,400 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Research
Payment Cycle Analyst IV
CareSource —Remote
- $83,000 - $132,800 a year
- Full-time
- Microsoft Word
- 7 years
- Microsoft Excel
Senior Business Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $71,280 - $141,570 a year
- Online Application
- Remote
- Computer Science
- Research
- Analysis skills
- 401(k)
Quick Apply
Implementation Director
Cotiviti —Remote
- $122,000 - $155,000 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Bachelor's degree
- Paid holidays
- Disability insurance
Pre-Pay Analyst
Katch —Remote
- Remote
- Mid-level
- Children
- Wellness program
- Health savings account
2d
Vendor Medical Coding Analyst
CareSource —Remote
- $54,500 - $87,300 a year
- Full-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Excel
Senior Decision Science Analyst
Lemonade —Remote
- $125,000 - $140,000 a year
- Full-time
- Remote
- Mid-level
- Math
- Bachelor's degree
Senior Medical Claims Investigator
Claritev —Remote
- $85,000 a year
- Full-time
- HIPAA
- Research
- Office
- Paid parental leave
- Employee stock purchase plan
16h
Senior Crop Accountant
Palomar Holdings, Inc. —Remote
- $70,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Outlook
- 5 years
- Research
- Health insurance
- Paid time off
21h

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Healthcare Customer Service Specialist - Work from Home

Sagility -
Remote

Apply Now

Job Details

From $14 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Work from home
Employee assistance program
Vision insurance
Life insurance

Qualifications

Phone communication
High school diploma or GED
Clinical confidentiality policies

Full Job Description

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Healthcare Customer Service Specialist - Work from Home

Job Description:

BroadPath a Sagility Company is hiring experienced Healthcare Customer Service Specialists to join our remote team! These roles support healthcare members, patients, and providers by handling inbound and outbound calls, resolving inquiries, scheduling services, and ensuring a positive, professional experience.

We are looking for customer focused professionals with healthcare, insurance, or call center experience who can adapt quickly, communicate clearly, and deliver exceptional service.

Compensation Highlights

Base Pay: Starting at $14 per hour for training, with an increase after transitioning to production
Pay frequency: Weekly pay

Schedule Highlights

Schedules can fall between the hours of 8:00 AM - 9:00 PM Eastern Time and will be assigned based on business needs

Responsibilities

Answer inbound calls and place outbound calls to assist members or patients with inquiries, benefits, scheduling, and service coordination
Provide accurate information about health plan benefits, eligibility, and coverage
Schedule, reschedule, and confirm appointments with healthcare providers
Process referrals, authorizations, prescription renewals, and other requests
Assist members or patients with claims questions, billing inquiries, and account updates
Review insurance or plan eligibility and update records in the system
Maintain accurate documentation in electronic systems, including EMR or CRM tools
Communicate with providers and internal teams via phone, secure messaging, or email
Protect member and patient confidentiality and follow HIPAA or applicable privacy guidelines
Escalate complex issues to the appropriate team or supervisor for resolution

Qualifications

High School Diploma or equivalent
1+ year of call center customer service experience handling high call volume
1+ year of healthcare or health insurance experience (member services, patient services, provider services, benefits support, or similar)
Previous job tenure of at least 6 months per role, reflecting stability and reliability
Knowledge of privacy regulations and the ability to manage sensitive customer and account information with discretion, ensuring full compliance in a remote work environment
Strong verbal and written communication skills
Ability to navigate multiple systems and maintain accuracy while handling calls
Comfortable working in a remote environment with a designated, private workspace
Demonstrated stable work history with a track record of reliability
Commitment to a long-term role and building a career with the organization
Reliable high-speed internet

Preferred Qualifications

Experience with appointment scheduling or benefits inquiries
Familiarity with electronic medical records (EMR) or customer relationship management (CRM) systems
Experience with EPIC, Facets, or similar applications
Knowledge of medical and/or insurance terminology

At BroadPath a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.

What to Expect:

On-camera participation during interviews, training, team meetings, and regular check-ins.
Face-to-face discussions sparking collaboration and engagement
A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits:

Medical, Dental, and Vision coverage.
Life Insurance.
Short-Term and Long-Term Disability options.
Flexible Spending Account (FSA).
Employee Assistance Program.
401(k) with employer contribution.
Paid Time Off (PTO).
Tuition Reimbursement.

BroadPath a Sagility Company may conduct background checks, previous employment verifications, and education verifications, based on position requirements

Diversity Statement

At BroadPath a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

Work@Home USAUnited States of America

Apply Now

Refine Your Search

facets claims jobs in remote

Healthcare Customer Service Specialist - Work from Home

Payment Analyst, Healthcare

Benefit Adjuster III - Leave Services

Manager of Member and Provider Service

Business Analyst (Remote)

Sr. Data Analyst- Remote

Claims Subject Matter Expert (Managed Care)

Behavioral Health Specialist

Claims Adjudicator

Crop Compliance Reviewer

Payment Cycle Analyst III

Operations Specialist II

Payment Cycle Analyst IV

Senior Business Analyst (Remote)

Implementation Director

Pre-Pay Analyst

Vendor Medical Coding Analyst

Senior Decision Science Analyst

Senior Medical Claims Investigator

Senior Crop Accountant

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