Evry Health
Evry Health20d ago
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Commercial Health Call Center Representative- REMOTE

RemoteFull-Timemid
OtherCall Center Representative
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Quick Summary

Overview

Research, review and respond to inquiries received from members and providers. Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously,

Technical Tools
OtherCall Center Representative
  • Research, review and respond to inquiries received from members and providers.
  • Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously, and professionally.
  • Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
  • Leverage company policies and procedures, benefits, claims, and eligibility to respond accurately to all inquiries.
  • Handle member complaints and complaint appeals.
  • Work with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner.
  • Demonstrate basic understanding of company billing guidelines and effectively interpret inquiries related to claims and claim payments.
  • Accurately document all calls.
  • Recognize trends and patterns in call types and engage leadership with suggested solutions.
  • Meet and maintain established department production and quality standards, on both an individual and team basis.
  • Assist members with navigating the member portal while encouraging them to becoming self-sufficient with our tools.
  • Demonstrate personal responsibility and accountability by meeting attendance and schedule adherence expectations.
  • Effectively excel in a virtual work environment through active participation in team huddles, supervisor 1:1s, instant messaging, and check-ins.
  • Minimum of 2 years of customer service experience supporting a commercial health plan (not just Medicare, Medicaid, or Pharmacy)
  • Experience collaborating and supporting business and operational units such as Claims, Medical Management and Appeals and Grievance.
  • Knowledge of medical and insurance industry terminology including CPT/ICD-10, HCPCS and Revenue Codes.
  • Excellent communication skills, both verbally and in writing, and can articulate and communicate complex topics to a broad audience.
  • Comfort working in a fast-paced, deadline-oriented work environment.
  • Strong attention to detail and problem-solving skills with a high level of accuracy.
  • Proficiency in Microsoft Office applications Word, Excel, Outlook OneNote, etc.
  • Prior experience using a CRM, preferably SalesForce.
  • Bonus: fluency in Spanish.
  • This is a remote position. Our whole company works remotely. Company headquarters are in Dallas, Texas.
  • Company business hours are weekdays 9-5 CST. We will only consider candidates in the United States who reside in the CST or EST time zones.
  • Required to have a dedicated work area established that is separate from other living areas and provides information privacy.
  • Ability to keep all company sensitive documents secure.
  • Must live in a location that receives an existing high-speed internet connection/service.
  • Competitive salary
  • Comprehensive health, dental, and vision insurance as well as life and disability
  • Retirement savings plan with company match
  • Generous time off/vacation
  • Professional development opportunities
  • Flexible and remote work environment

    • Location & Eligibility

    Where is the job
    Worldwide
    Fully remote, anywhere in the world
    Who can apply
    Same as job location

    Listing Details

    Posted
    May 20, 2026
    First seen
    May 20, 2026
    Last seen
    June 10, 2026

    Posting Health

    Days active
    20
    Repost count
    1
    Trust Level
    30%
    Scored at
    June 9, 2026

    Signal breakdown

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    Evry Health
    Evry Health
    lever
    Employees
    30
    Founded
    2017
    Domain
    evryhealth.com
    Jobs
    View 9 jobs
    View company profile

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    Evry HealthCommercial Health Call Center Representative- REMOTE
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