Member Benefits Specialist
Job Summary
Acting as a member advocate, the full-time hourly Member Benefits Specialist will receive inbound calls to assist members with inquiries about benefit plans, providing education and support to enhance their healthcare experience in a 100% remote environment.
Key responsibilities:
- Deliver exceptional service across multiple channels, maintaining ownership of member resolutions
- Become an expert in various benefit plans and educate members on health benefit coverage and regulations
- Take ownership of the member experience, conducting research and resolving issues efficiently
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 preferred
- Medical claims exposure (ICD-9/10 coding, CPT coding) preferred
Complete Job Description
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