Member Benefits Specialist

Job Summary

A company is looking for a Member Benefit Specialist to assist members with inquiries involving benefit plans and provide support throughout their healthcare experience.

Key Responsibilities

• Deliver exceptional service across multiple channels while maintaining ownership of member resolutions
• Become an expert in benefit administration and guide members on health benefit coverage and resources
• Take ownership of the member experience, reducing handoffs and ensuring consistency in service delivery

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