Member Benefit Specialist

Job Summary

A company is looking for a Member Benefit Specialist to assist members with inquiries regarding benefit plans and healthcare experiences.

Key Responsibilities

• Provide exceptional service through various channels, acting as a single point of contact for member inquiries
• Educate members on health benefit coverage, including FSAs, HSAs, and reimbursement levels
• Take ownership of the member experience, ensuring consistency and resolution throughout their healthcare journey

Required Qualifications

• High school diploma or GED
• 1+ year of healthcare industry work experience
• Experience in client-focused solutions with direct member contact
• 1+ year of telephonic verification of medical benefits
• Medical claims exposure, including ICD-9/10 and CPT coding