Member Benefit Specialist

Job Summary

Acting as an advocate for members, the full-time hourly Member Benefit Specialist will manage inbound inquiries regarding benefit plans, providing expert guidance and support to enhance the healthcare experience while working remotely.

Key responsibilities:

• Deliver exceptional service across multiple channels, ensuring ownership of member resolutions
• Educate members on health benefit coverage, including Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs)
• Take ownership of the member experience, conducting research and resolving issues to optimize their healthcare journey

Required qualifications:

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