Healthcare Member Services Specialist

Healthcare Support Staffing; Austin (TX); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading national healthcare recruiting firm in Austin, Texas, is seeking an experienced Customer Service Representative. In this role, you will respond to inquiries from members and providers, research benefits, and educate providers on prior authorization. The ideal candidate will have at least 2 years of relevant experience, preferably in a Medicare or Medicaid setting, along with a high school diploma. Bilingual skills in Spanish and English are preferred. This position offers a supportive work environment with training provided.

Qualifications

• 2+ years of related experience with at least 1 year in a call center environment.
• Experience in Medicare or Medicaid preferred.
• Ability to document member issues and resolutions.

Responsibilities

• Respond to telephone inquiries from members or providers.
• Research member eligibility and benefits.
• Educate providers on authorization requirements.

Skills

Customer service experience

Communication skills

Bilingual (Spanish and English)

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Microsoft Access

Job description

A leading national healthcare recruiting firm in Austin, Texas, is seeking an experienced Customer Service Representative. In this role, you will respond to inquiries from members and providers, research benefits, and educate providers on prior authorization. The ideal candidate will have at least 2 years of relevant experience, preferably in a Medicare or Medicaid setting, along with a high school diploma. Bilingual skills in Spanish and English are preferred. This position offers a supportive work environment with training provided.