Job Description

Elevance Health Remote Customer Care Representative I

September 8, 2025

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.

Primary duties may include, but are not limited to:

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information, documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
• Uses computerized systems for tracking, information gathering and troubleshooting.
• Outbound calls are conducted in the ZipDrug business area.
• Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Qualified candidates have at least one year of customer service experience and demonstrate basic proficiency in MS Excel and Outlook with accurate data entry.
• Comfortable navigating web-based applications using Google Chrome and Microsoft Edge.
• Strong oral, written, and interpersonal communication skills are required, including the ability to problem-solve, facilitate discussions, and analyze information.

Requirements :

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
• Medical training and/or HIPAA experience is preferred, and experience in healthcare and Medicare is a plus.
• The roles are 100% remote and can be located anywhere in the U.S. within 50 miles of Pulsepoint
• Must be able to work in EST timezone
• Work Schedule: Initial Training: 1 week, 8:30 am to 5 pm, remote. (EST)
• Nesting: additional 1 week, 8:30 am to 5 pm, remote. (EST)
• After training and nesting:
• Monday through Friday 8 hour shift between 8 am and 8 pm, MUST BE FLEXIBLE to work various hours -remote from home.
• Occasional weekend days, 8 hour shift between 8 am and 8 pm, remote from home.
• Potential upskill training based on business needs. Additional 2-3 weeks of training, with 1-2 weeks of nesting.
• Must be available to work the day after Thanksgiving, New Year's Day and MLK Jr. Holiday.

Pay Rate Range

Min Pay Rate

$13.53

Max Pay Rate

$24.56

Currency

USD

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