Pathways Healthcare Jobs in Tennessee (NOW HIRING)

Remote Healthcare Customer Service Opportunity

If you’re someone who thrives in process-driven environments and enjoys providing support behind the scenes to help patients access the care they need, this opportunity is built for you. As a Customer Service Representative, you’ll play a critical role in supporting healthcare processes by ensuring prior authorizations are obtained efficiently and accurately.

This is an ideal fit for detail-oriented professionals who are comfortable with repetitive tasks, value consistency, and can maintain speed without sacrificing quality.

Please Note: This is a 1099 Independent Contractor opportunity.

What You’ll Be Doing

• Reviewing case documents and identifying missing or incomplete information needed for prior authorizations

• Making outbound calls to medical providers or other stakeholders to gather required details
• Answering inbound calls, handling questions, and assisting with customer requests
• Accurately documenting all interactions and outcomes to create a clear path for next steps
• Updating and submitting authorization requests in accordance with established procedures
• Tracking the progress of requests and ensuring timely follow-up to keep cases moving forward 

About You

This opportunity is well-suited for individuals who:

• Are comfortable in fast-paced, high-volume remote environments
• Can use multiple computer applications and informational resources as needed to complete tasks 
• Enjoy routine, process-oriented projects and can stay focused on repetitive tasks
• Have clear, professional written and verbal communication skills
• Ask the right questions to uncover missing or unclear information
• Have strong attention to detail, and understand how errors or missed steps can impact patient care

Your Home Office Environment

To be a Customer Service Representative, you will need a Windows PC. Chromebooks and Macs cannot be used. You will need a computer and equipment meeting the following specifications, at a minimum:

• Access to high-speed, hardwired internet (no Wi-Fi or Satellite, please)

• A PC with Windows 11 (Macs and Chromebooks are not supported at this time)
• 16GB of RAM
• 250GB of hard drive space
• An Intel i3 9th Gen Processor or newer, or AMD Ryzen 3 Processor or newer 
• Up-to-date antivirus software
• Dual monitors, each capable of displaying at least 1024 x 768 pixels
• A USB noise-cancelling headset
• A smartphone for multi-factor authentication
• A webcam for your Certification experience

Where NexRep Contracts

NexRep contracts with people in 31 states. You are eligible to contract with NexRep if you reside in one of these states: AL, AK, DE, FL, GA, ID, IN, IA, KS, KY, LA, MI, MS, MT, NE, NV, NH, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WV, or WY. We do not currently contract with anyone outside of the US.

Hours of Operation

As an independent contractor, you’ll have the flexibility to manage your own schedule within the client’s hours of operation, which are Monday through Friday from 9:00 AM to 5:00 PM ET. 

Please note that our third-party client requires that independent contractors service at least 20 hours per week. If you’d prefer to service fewer than 20 hours per week as an independent contractor, you’re free to pursue a different opportunity within the NexRep Marketplace.

Pay & Perks

Customer Service Representatives invoice at a rate of $15 per hour.

Plus, your remote, independent contractor status allows you to work in the comfort of your own home.

You’ll enjoy significant savings in expenses related to transportation, clothing, childcare or eldercare, and food. You may also qualify for home office tax deductions, but you should consult with an accountant to determine eligibility. In addition, you’ll receive:

• Access to program experts who are available to meet with you upon request
• Free certification to provide you with the information you need to be successful as a Customer Service Representative. Certification runs for 5 days, Monday-Friday from 9am-5pm ET. 
• Supported Production, which occurs after certification, runs for one week.
• The opportunity to earn a $450 certification incentive upon successful completion of Supported Production 

You’ll also be able to take advantage of NexRep Perks, a program that recognizes the service provided by independent contractors to NexRep’s clients and their customers via the NexRep Marketplace platform. With the NexRep Perks program, you’ll have the opportunity to earn Perks points. As those points add up, you’ll unlock access to Perks – exclusive discounts and savings on a variety of common expenses such as banking services, legal support, technical support, and more!

Please note that NexRep is connecting independent contractors to exclusive discounts and savings opportunities and is not providing employee benefits nor establishing an employee benefit program. Each independent contractor makes their own decision whether to engage with a Perks Partner. NexRep receives no compensation in any form from the Perks Program.