Insurance Customer Service Representative
Handles member and provider inquiries, resolves billing questions, and maintains the service standards your policyholders expect.
View roleWe hear from insurance teams all the time: the workload keeps growing, but hiring locally feels impossible. Between claims backlogs, credentialing deadlines, and hold times that frustrate everyone, your staff is burning out. MedHealthAssistant places experienced remote insurance professionals who understand payer systems, HIPAA requirements, and the pressure of keeping turnaround times tight.
Each person we place has hands-on experience with insurance operations. They are trained on platforms like Availity, Waystar, Navicure, and major payer portals before they ever join your team.
Handles member and provider inquiries, resolves billing questions, and maintains the service standards your policyholders expect.
View roleGathers applicant data, prepares risk assessment files, and supports underwriters so policy decisions move faster.
View roleReviews incoming claims for accuracy, processes payments according to plan terms, and flags discrepancies before they become costly errors.
View roleConfirms active coverage, checks eligibility and benefits, and communicates findings to providers so there are no billing surprises.
View roleSubmits clean claims to payers, reconciles EOBs with expected payments, and follows up on denials to protect your revenue.
View roleInitiates and tracks prior auth requests, gathers clinical documentation, and follows up with payers to prevent treatment delays.
View roleManages provider enrollment applications, tracks re-credentialing deadlines, and keeps your roster current across all payer networks.
View roleDrafts and submits appeal letters for denied claims, organizes supporting documentation, and tracks outcomes to improve future approval rates.
View roleWhether you are a health plan, a third-party administrator, or a provider group managing your own payer relationships, our remote insurance professionals fit into your existing workflows and systems.