Healthcare Call Center Representative (Remote - CST Hours)

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Job Title: Healthcare Call Center Representative (Remote – CST Hours)

Start Date: May 11, 2026

Payrate: $ 19.82

We are seeking experienced Healthcare Call Center Representatives to join a high-volume, fast-paced, and compliance-driven environment. This is a safety-sensitive, fully remote role requiring candidates to work Central Standard Time (CST) hours.

Key Responsibilities

• Handle 80–100 inbound calls per day in a high-volume call center environment
• Assist with healthcare-related inquiries including prior authorizations, appeals, and drug benefits
• Accurately document complex case details while navigating multiple systems
• Maintain compliance with all healthcare regulations and HIPAA standards
• Provide professional, timely, and empathetic customer support
  
  

Required Qualifications (Must-Haves)

• Minimum 2 years of healthcare and/or health call center experience
• At least 6 months in a high-volume call center environment (inbound calls only)
• Proven ability to work in a fast-paced, regulated, compliance-driven setting
• Comfortable working extended periods on the phone in a true call center environment
  
  

Preferred Qualifications

• 6 months of PBM (Pharmacy Benefit Management) or pharmaceutical experience
• Knowledge of:
• Medicare Part D
• Prior authorizations
• Appeals processes
• Drug benefits
• Familiarity with insurance types: Commercial, Medicare, Medicaid
  
  

Technical & Remote Requirements

• Prior remote work experience (minimum 6 months)
• Ability to navigate multiple systems simultaneously
• Reliable wired internet connection required
• Private, HIPAA-compliant workspace
• Strong written and verbal communication skills
  
  

If You Feel This Would Be a Good Fit For You, Please Submit Your Resume Along With The Following Questions For Consideration

Please include the following responses at the top of your resume:

• Do you have at least 2 years of healthcare and/or healthcare call center experience?
• Do you have experience handling high volume inbound calls?
  
  

What is the average number of calls per day you are comfortable handling?

• Do you have experience with Prior Authorizations, PBM processes, or Medicare Part D?
• Have you worked in a remote/virtual role for at least 6 months without an onsite supervisor?
• Do you have a dedicated private workspace free from noise and distractions?
• Do you have reliable wired internet (minimum 25 Mbps down / 5 Mbps up)?
  
  

Please attach a screenshot of the speed test at the top of your resume.

• Are you comfortable navigating multiple systems and documentation tools simultaneously?
• Do you have experience handling sensitive patient information and maintaining HIPAA compliance?
• Are you able to meet strict timelines, productivity metrics, and quality standards?
• Are you willing and able to work nights, weekends, and holiday rotations as required?
• If applicable, do you have childcare arrangements in place to support the required schedule?
• Are you comfortable being on camera?
  
  

Pay Details: $19.82 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

Requirements

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
  
  

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

If you have questions about this posting, please contact support@lensa.com