Enrollment Customer Service Representative (Remote) - North Carolina Staffing : Job Details

We are seeking a detail-oriented and customer-focused Provider Services Representative to join our remote team, specializing in Commercial or Medicare Insurance Enrollment. In this role, you will be a key liaison between healthcare providers and internal departments, ensuring accurate and timely enrollment, eligibility verification, and resolution of insurance-related inquiries. Your ability to navigate complex systems, communicate clearly, and maintain compliance with regulatory standards will directly support our mission to streamline access to care through efficient insurance processes.

Key Responsibilities:

• Respond professionally to inbound calls related to commercial insurance enrollment, eligibility, and provider credentialing.
• Serve as a knowledgeable point of contact for providers regarding payer requirements, enrollment status, and documentation needs.
• Handle inbound and outbound calls with accuracy, clarity, and courtesyaveraging 70100 calls per day.
• Ensure proper call handling, avoiding short calls, inappropriate transfers, or misuse of hold functions.
• Perform accurate and timely data entry for all provider interactions and enrollment updates.
• Navigate multiple systems and databases to verify insurance information and resolve provider issues.
• Clearly explain commercial insurance policies, enrollment procedures, and timelines.
• Maintain a strong understanding of various payer networks and lines of business.
• Demonstrate technical proficiency in managing enrollment platforms and CRM tools.

Qualifications:

• Minimum 1 3 years customer service experience preferably in a Benefits, Insurance, Healthcare, or related setting.
• Proven experience working remotely.
• Minimum of 2 years of consistent work experience in a related role. Demonstrated tenure and reliability in previous positions is required.
• HS Diploma or equivalent.
• Applicants must have access to an ethernet plug in as Wi-Fi will not work. Must have a working phone number for secondary system verifications.

Details:

• 100% remote - equipment is provided.
• Pay: $18.50/hr. based on related experience.
• Pay cycle weekly | medical, dental & vision benefits offered.
• Schedule (40 hours per week): Monday Saturday | 8-hour shift within the hours of operation (9:30am 8pm EST).
• 1 Saturday shift is required per month. (would have a weekday off when working a Saturday).
• Anticipated Start Date: 10/13/2025.

Pay and Benefits: The pay range for this position is $18.00 - $18.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type: This is a fully remote position.

Application Deadline: This position is anticipated to close on Sep 5, 2025.