Member Benefit Specialist

Job Summary

A company is looking for a Member Benefit Specialist.

Key Responsibilities

• Provide end-to-end support for members by addressing inquiries and guiding them through their healthcare journey
• Educate members on health benefit coverage and assist with provider research, appointment scheduling, and claims questions
• Document interactions accurately and collaborate with internal and external partners to ensure timely resolution of member issues

Required Qualifications

• High school diploma or GED required; associate or bachelor's degree preferred
• 1+ year of healthcare industry experience in a member-facing or benefits-focused role
• 1+ year of experience delivering customer/member-focused solutions in a call center or virtual environment
• Experience verifying medical benefits and supporting benefit inquiries preferred
• Medical claims exposure (ICD-9/10, CPT, claim forms) preferred