Medicare Advantage Member Support Specialist

Zing Health Holdings, Inc.; Chicago (IL); Sur place; USD 36 000 - 48 000; Plein temps

Résumé du poste

Zing Health Holdings, Inc. is seeking a Customer Service Representative to be the primary contact for members, providers, agents and brokers. The role delivers all aspects of customer service and handles inquiries related to health insurance benefits, eligibility, and claims.

The position requires strong communication, analytical skills, and the ability to work independently or in a team. A high school diploma is required, and prior managed care experience is preferred.

Qualifications

• Minimum of a high school diploma or equivalent.
• Prior experience in Customer Service in a Managed Care Organization preferred.
• Ability to type a minimum of 35 words per minute.
• Knowledge of managed care processes and health insurance coverage preferred.
• Outstanding communication skills and the ability to understand complex situations to effectively handle escalated customer needs.
• Analytical skills and the ability to read and interpret data.
• Problem solving abilities.
• Ability to work independently and as a part of a team.
• Ability to operate computer programs - Microsoft Word, Microsoft Excel, Microsoft PowerPoint

Responsabilités

• Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility, and claims.
• Analyze problems and provide correct information and solutions.
• Communicate monthly messages to providers on a specific need basis.
• Deal tactfully and empathetically with customers.
• Establish and maintain effective working relationships with physician office staff.
• Read, comprehend, and verbalize processes and procedures of the organization and of health insurance coverage.
• Multi-task and pay close attention to detail.

Connaissances

Communication

Analytical skills

Problem solving

Multitasking

Typing 35 wpm

Teamwork

Data interpretation

Managed care knowledge

Formation

High school diploma or equivalent

Outils

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Description du poste

Zing Health Holdings, Inc. is seeking a Customer Service Representative to be the primary contact for members, providers, agents and brokers. The role delivers all aspects of customer service and handles inquiries related to health insurance benefits, eligibility, and claims.

The position requires strong communication, analytical skills, and the ability to work independently or in a team. A high school diploma is required, and prior managed care experience is preferred.