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Healthcare Call Center Jobs (NOW HIRING)

Regal Medical Group, Inc.

$25/hr

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced ...

Regal Medical Group, Inc.

$21/hr

Facilitate communication between members and healthcare providers to ensure clarity and * Participate in training sessions and team meetings to enhance service delivery and share best practices.

Avcend

Call Center Representative

Cary, NC · On-site

$20.40/hr

Pharmacy or healthcare call center experience * Medical office experience or medical terminology knowledge Additional Notes: * Training and work are fully onsite * Good attendance is very important

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Healthcare Call Center information

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How much do healthcare call center jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for healthcare call center in the United States is $17.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 per hour, depending on experience, location, and employer.

What types of issues or questions do Healthcare Call Center representatives typically handle during a shift?

Healthcare Call Center representatives commonly assist patients with scheduling appointments, answering questions about insurance coverage, providing test result updates, and guiding callers through billing inquiries. They may also help with prescription refills, direct patients to appropriate medical departments, and address urgent triage needs by escalating calls to clinical staff when necessary. The diversity of inquiries requires representatives to be knowledgeable about healthcare processes and to communicate clearly and compassionately. Due to the sensitive nature of healthcare information, strict adherence to privacy protocols and attention to detail are key parts of the daily workflow.

What are the key skills and qualifications needed to thrive in the Healthcare Call Center position, and why are they important?

To thrive in a Healthcare Call Center, you typically need strong communication skills, basic healthcare knowledge, and experience in customer service or patient relations. Familiarity with call center software, electronic health record (EHR) systems, and sometimes HIPAA certification are commonly required. Outstanding active listening, problem-solving abilities, and patience help professionals excel in supporting diverse patient needs. These skills ensure accurate information delivery, patient satisfaction, and efficient resolution of healthcare inquiries in a fast-paced environment.

Is migraine covered under health insurance?

As a healthcare call center representative, you should inform callers that coverage for migraines depends on the specific health insurance plan. Many plans cover diagnosis and treatment, including medications and specialist visits, but coverage details vary. It is important to advise individuals to review their policy or contact their insurer for precise information.

Is it health care or healthcare?

The correct term is 'healthcare,' written as one word, and it refers to the industry providing medical services and support. In a healthcare call center, agents often handle inquiries related to health insurance, medical appointments, and patient support, requiring good communication skills and knowledge of healthcare terminology.

Does Medicare cover home health care for dementia?

A healthcare call center representative can inform you that Medicare Part A covers certain home health services for individuals with dementia if they meet specific eligibility criteria, such as being homebound and needing skilled care. Coverage typically includes nursing, therapy, and aide services, but requires certification and a doctor's plan of care. It is important to verify individual eligibility and service details with Medicare or a healthcare provider.

What is a Healthcare Call Center job?

A Healthcare Call Center job involves assisting patients, healthcare providers, and insurance companies by handling inquiries, scheduling appointments, processing claims, and providing general support. Agents may answer questions about medical services, billing, prescriptions, and insurance coverage. Strong communication and problem-solving skills are essential, as employees must provide accurate and compassionate assistance. This role often requires familiarity with healthcare regulations, electronic medical records, and confidentiality standards like HIPAA.

Is bipolar disorder covered in health insurance?

A healthcare call center representative can inform you that coverage for bipolar disorder varies by insurance plan. Most health insurance plans, including Medicaid and private insurers, typically cover mental health treatments such as therapy and medication, often requiring prior authorization. It is advisable to review your specific policy or contact your insurer for detailed coverage information.
More about Healthcare Call Center jobs
What cities are hiring for Healthcare Call Center jobs? Cities with the most Healthcare Call Center job openings:
What are the most commonly searched types of Healthcare Call Center jobs? The most popular types of Healthcare Call Center jobs are:
What states have the most Healthcare Call Center jobs? States with the most job openings for Healthcare Call Center jobs include:
What job categories do people searching Healthcare Call Center jobs look for? The top searched job categories for Healthcare Call Center jobs are:
Healthcare Call Center jobs near you
Infographic showing various Healthcare Call Center job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $37,257 per year, or $17.9 per hour.
Healthcare Call Center Auditor

Healthcare Call Center Auditor

Regal Medical Group, Inc.

On-site

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Regal Medical Group rating

8.7

Company rating: 8.7 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Position Summary:
Provides support in the ongoing maintenance and configuration of Regal Medical Group systems, including but not limited to the data entry of Contracting Database, Providers, Vendors, Fee schedules, Capitation Configuration. Performs system maintenance functions in a manner that is responsive to customer needs and support Regal initiatives.
Essential Duties and Responsibilities include the following:
  • Adheres to Data integrity policies for all system configurations.
  • Responsible for the data entry of claims system support tables and may be required to perform specialized area data entry or general data maintenance for eligibility, providers, fee sets and benefits or any other areas that require ongoing.
  • Proficient in multiple areas of data management (fee sets, benefits, eligibility, contracts, provider set up, vendor).
  • Responsible for the accurate and timely completion of tasks assigned.
  • Performs random audits as required to support policies and procedures for data integrity.
  • Communicates with management and makes recommendations to improve processes.
  • Ensure all systems within their area of responsibility are reliable, responsive and support to the needs of the Regal Medical Group network.
  • Maintains a customer satisfaction focused, service mentality to strengthen and build relationships with Heritage Provider Network and other Regal Medical Group.
  • The provider adds report is run daily to identify if provider needs to be added to system.
    • The report must be sorted by Pend flags status and then received date.
    • Pending for Eligibility are priority and must be completed same day.
    • Receive date greater than 5 days from current date are priority must be completed same day.
    • Receive date less than 5 days from current date must be completed with 3 - 4 days.
  • Contracted TIN or Provider must be verified if provider is contracted via CDB access database.
    • If provider is not found, must flag provider with PC (Pending Credentialing) flag.
    • If provider is found under a different TIN must via email contact assigned Network Manager to confirm if provider is part of the contracted group/TIN and/or TIN changed.
    • If provider is found all criteria's match, add provider and link Key ID to referral network(s).
  • Non Contracted TIN or Provider is validated if Provider or TIN not found as in the CDB database.
  • Provider must be loaded as non-contracted by applying our U&C standard rates.
  • Individual and Group NPI must be validated via NPI Registry.
  • Vendor Name must be validated via IRS website.
  • Facility with health plan reciprocity contract worked on a daily basis.
    • Reciprocity rates apply when facility and HPN have not contract. The facility will accept Health plan rates as payment.
    • Identify high volume non-contracted providers.
    • P:\Finance\hospital reciprocity rates worksheet if provider is listed.
    • 5 - 7 facilities must be complete on daily day in all databases (LMG, GCMG, and RMG).
  • Attends administrative meetings as requested.
  • Provides training to other staff members in data management.
  • All other duties as directed my management.

The pay range for this position at commencement of employment is expected to be $25 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:
  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:
  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Education and/or Experience:
  • High School Graduate or equivalent required.
  • 3 year experience in medical office, related field, including customer service duties
  • Ability to deal responsibly with matters of a confidential nature.
  • Ability to prioritize work in order to meet daily deadlines.
  • Must have excellent communication skills, both verbal and written.
  • Ability to read, write and understand the English language.
  • Pleasant telephone manner.
  • Working knowledge of MS Word.
  • Working knowledge of MS Excel.

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