Remote Medical Claims Processing Jobs in Spring, TX

Are you the type of person who loves solving problems, bringing smiles to people’s faces, and making a positive impact every day?

If so, GetixHealth wants YOU! We’re looking for Customer Service Representatives who take pride in their work, show initiative even when no one is watching, and understand that the quality of their work reflects who they are.

Successful candidates are thoughtful, detail-oriented, and communicative. They are proactive, professional, well-spoken, polite, and accountable—both to themselves and to others. If you enjoy helping people and thrive in a fast-paced environment, this role is for you.

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Position Overview:

As a Customer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is handling high-volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage.

You’ll use established procedures and tools to resolve inquiries efficiently and with empathy—ensuring compliance, accuracy, and customer satisfaction in every interaction. This is a high-impact, fast-paced role ideal for someone who thrives in a collaborative team environment.

Location: Remote (Need to pass internet speed test- we provide equipment)

Department: Healthcare Operations / Call Center

Reports To: Operations Supervisor

Compensation: $17.00 per hour (based on experience) + quarterly bonus eligibility

Shifts: Full-time, Monday–Friday 8:00am -4:30pm, 9:00am -5:30pm, 10:00am -6:30pm (CST)

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Key Responsibilities:

• Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions.

• Respond to telephone inquiries using standard procedures and scripts.

• Gather required information, research account details, and resolve customer concerns accurately and promptly.

• Clearly explain billing information, insurance benefits, and available services to patients.

• Assess patient needs and provide appropriate solutions or escalate issues when necessary.

• Schedule work to ensure optimal call coverage and maintain daily productivity.

• Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals.

• Support department initiatives and contribute to continuous improvement efforts.

• Maintain strict adherence to HIPAA regulations and confidentiality policies.

• Assist with department goals and recommend improvements to enhance efficiency.

• Perform other duties as assigned to support the team and organizational success.

Education & Experience:

• Bilingual (Spanish) preferred (not required)

• High School Diploma or GED required; additional education is a plus.

• 1–2 years of customer service experience required.

• Healthcare, insurance, or medical collections experience preferred.

• Familiarity with Medicaid, Medicare, Workers’ Compensation, and liability claims preferred.

• Basic understanding of medical terminology and the healthcare revenue cycle.

• Proven experience working with multiple systems and databases in a fast-paced environment.

Skills & Qualities:

• Strong verbal, written, and interpersonal communication skills.

• Excellent problem-solving abilities with a calm, empathetic approach.

• High attention to detail and accuracy.

• Ability to work independently and collaboratively to meet and exceed performance goals.

• Comfort using Microsoft Office Suite and adapting to new technologies.

• Bilingual abilities are a plus.

• Strong attendance and reliability.

Benefits & Incentives:

• • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
  • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
  • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
  • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
  • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.

Note: This job description outlines the primary duties and qualifications of the role and is not intended to be an exhaustive list of responsibilities.

GetixHealth is an Equal Opportunity and E-Verify Employer.