Member Care & Benefits Navigator

Western New York Integrated Care Collaborative, Inc.; Buffalo (NY); On-site; USD 28,000 - 32,000; Full time

Job summary

Centivo in Buffalo, NY seeks a Member Care Specialist for an on-site role to support members and provider partners with benefits, eligibility, and claims inquiries. Training begins Oct 19, 2026, with a paid program starting June 1, 2026; hourly wages start at $20–$23 depending on experience, with Monday–Friday schedule in the Buffalo office.

Your role involves inbound calls, research, and educating on benefits and navigation of Centivo tools. Join a mission-driven team making healthcare better.

Qualifications

• High school diploma or GED.
• Some computer skills.
• Familiarity with Microsoft Windows and Office applications (Outlook, Word, Excel).
• Ability to learn other proprietary computer systems quickly.
• Excellent written and verbal communication; attention to detail.
• Nice-to-have: fast-paced call center experience; prior claims or medical billing experience.

Responsibilities

• Accept inbound calls from members and providers on inquiries about benefits, eligibility, and claims.
• Research complex inquiries using tools, documentation, and outbound calls.
• Educate members and providers on benefits and navigation of Centivo site, tools, and applications.
• Document all interactions and ensure proper processes are followed with timely follow-up.
• De-escalate calls when necessary.
• Address first-level complaints and provide assistance on appeals as needed.

Skills

Communication skills

Problem-solving skills

Attention to detail

Call center experience (nice to have)

Education

High school diploma or GED

Tools

Microsoft Office

Proprietary systems

Job description

Centivo in Buffalo, NY seeks a Member Care Specialist for an on-site role to support members and provider partners with benefits, eligibility, and claims inquiries. Training begins Oct 19, 2026, with a paid program starting June 1, 2026; hourly wages start at $20–$23 depending on experience, with Monday–Friday schedule in the Buffalo office.

Your role involves inbound calls, research, and educating on benefits and navigation of Centivo tools. Join a mission-driven team making healthcare better.