Senior Member Services Specialist
Job Summary
Owning complex and sensitive member cases from first contact to resolution, the full-time Senior Member Services Specialist will manage appeals, denied claims, and urgent care needs while providing general support to members in a remote setting.
Key responsibilities
- Manage complex member cases, including appeals and denied claims, ensuring timely resolution
- Provide support for general inquiries, appointment changes, and enrollment questions
- Investigate issues thoroughly before responding, keeping members informed throughout the resolution process
Required qualifications
- Experience with claims, appeals, reimbursement, or payments
- Familiarity with fertility benefits, specialty healthcare, or financial operations
- Proficiency in using Zendesk, Jira, and Slack
- Ability to work assigned shifts, including evenings, weekends, and holidays
- Active work authorization in the US
Complete Job Description
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