Member Benefits Specialist
Job Summary
To support member inquiries regarding benefit plans, the full-time hourly Member Benefits Specialist will provide exceptional service through various communication channels while working remotely and adhering to MST time zone shifts.
Key responsibilities
- Deliver outstanding service as a single point of contact for members, ensuring resolution ownership and minimal handoffs
- Educate members on benefit administration, coverage details, and federal regulations to enhance their healthcare experience
- Conduct research and resolve member complaints while maintaining compliance with HIPAA guidelines
Required qualifications
- High school diploma or GED
- 1+ year of experience in the healthcare industry, preferably in a member-facing role
- Experience with telephonic verification of medical benefits is preferred
- Familiarity with medical claims exposure, including ICD-9/10 coding and CPT coding, is a plus
- Proficiency in Microsoft Outlook, Word, and Excel
Complete Job Description
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