20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia.

The company helps patients across the United States diagnose and treat obstructive sleep apnea with at-home sleep tests and custom oral appliances. We are seeking a detail-oriented, empathetic, and tech-savvy CS1 Agent to guide patients through our onboarding journey, from purchase through manufacturing readiness, so every patient has a consistent, high-quality experience. The ideal candidate is highly organized, calm under pressure, and comfortable managing a large patient caseload across phone, SMS, and email. Experience in customer support, de-escalation, and meeting response-time SLAs is strongly preferred.

This is a long-term, ongoing opportunity with an ASAP start date.

The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.

Scope of Services

Contractors will be required to provide services that align with the following client tasks:

• Own each patient’s onboarding journey from purchase through telehealth scheduling, impression kit delivery and return, and handoff to manufacturing.

• Manage a personal caseload of 100+ patients at different stages of the funnel, keeping work organized and prioritized every day.

• Respond to inbound patient messages by phone, SMS, and email within team SLAs, and make proactive outreach to keep patients moving forward.

• Serve as the patient’s main point of contact, coordinating with insurance, clinical, sales, and manufacturing teams to resolve issues and prevent delays.

• Guide patients through completing and returning their impression kits and follow up on kits that are outstanding or need to be redone.

• Handle cancellation, refund, and billing concerns with empathy, using approved de-escalation scripts and escalating per the team’s handoff process.

• Route clinical or medical questions to the clinical team. CS1 Agents do not provide medical advice.

• Document every patient interaction accurately and promptly in Salesforce.• Protect patient privacy and handle protected health information (PHI) in line with HIPAA.

• Share patient feedback and process gaps with leadership to help improve team SOPs.

Each engagement is based on a defined scope of work and is governed by an independent contractor agreement. Services must be performed professionally, with adherence to any timelines, guidelines, and deliverables agreed upon in writing.

Skills

The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:

• 1+ years of customer support, patient support, or call center experience; healthcare, telehealth, or e-commerce experience is a plus.

• Proven de-escalation skills, including handling cancellation and refund conversations.

• Ability to manage a high-volume caseload with strong organization and time management.

• Excellent written English and neutral spoken English.

• Strong attention to detail and accurate documentation habits.

• Empathetic, patient-first communication style.

• Ability to work independently while coordinating effectively with cross-functional teams.

• Familiarity with HIPAA or experience handling sensitive personal information preferred.

• High school diploma or equivalent required; bachelor’s degree preferred.

SOFTWARE & APPLICATIONS

• Salesforce (CRM)

• Microsoft Teams

• Microsoft Outlook

• Microsoft Excel• Microsoft SharePoint

• Microsoft Word

• Cloud-based phone and SMS tools

Work Schedule

• Contracted Hours per Week: 40 Hours
• Scheduled Working Days: Monday through Friday (unless otherwise mutually agreed in writing)
• Daily Working Time: 9:00 AM – 6:00 PM PST

Note: The Company will make reasonable efforts to align the Assigned VA’s schedule with the Client’s preferred hours as set forth above. However, availability may vary based on time zones, capacity, and the contracted hours set in this SOW. Any changes must be mutually agreed to in writing through a revised SOW.

Terms of Engagement

• Contractors will operate under a Master Services Agreement and a Statement of Work
• This is not an offer of employment; contractors are not employees of 20four7VA or any client
• All compensation is processed through 20four7VA according to the terms of the engagement

Role Summary & Requirements

• REQUIRED SERVICE: Business Support
• REQUESTED EXPERIENCE TIER LEVEL: Junior, Senior Level
• Contracted Hours per Week: 40 hours/week
• Daily Working Time: 9:00 AM – 6:00 PM PST
• Scheduled Working Days: Monday-Friday
• REPORTING TO/POC: To Be Determined
• Number of VAs: 2
• GENDER PREFERENCE: None
• LANGUAGES SPOKEN/PREFERENCE: English
• ACCENT PREFERENCE: Neutral / Level A
• REGION PREFERENCES: Any

What we offer

• Competitive rates
• Weekly payments
• Various open roles are available
• Free training and upskilling
• Constant support and guidance
• A vibrant community always ready to support you
• And more!