Member & Provider Services Representative (Fully Remote)

Gravie; United States; Remote; USD 42,000 - 61,000; Full time

Benefits offered by this job

Flexible PTO

Up to 16 weeks paid parental leave

Paw-ternity leave

Education reimbursement

Job summary

Gravie creates innovative health benefits solutions for small and midsize businesses, offering a fully remote role. You will support members and providers by phone and email, explain benefits, claims, and eligibility, and document interactions in the CRM.

The ideal candidate has 1–2 years in customer service or call centers, strong communication skills, and familiarity with Microsoft Office and Google Suite.

Qualifications

• 1–2 years of customer service or call center experience.
• Proficiency in using electronic systems, multitasking, and maintaining a structured schedule.
• Experience in health insurance or healthcare; familiarity with Microsoft Office and Google Suite.
• Active Health Insurance Producer License or willingness to obtain; experience with Medicare, Medicaid, or Marketplace plans.
• Fully remote role requiring a quiet workspace and reliable internet.

Responsibilities

• Deliver empathetic and professional customer service via phone and email, resolving member and provider inquiries.
• Accurately explain benefits, claims, eligibility, billing, networks, and prescriptions, and document all interactions in the CRM.
• Partner with internal teams and vendors for seamless resolution, and maintain compliance with HIPAA and other regulations.

Skills

Customer service

Call center

Communication

Problem solving

Multitasking

CRM software

Microsoft Office

Google Suite

HIPAA compliance

Tools

CRM software

Microsoft Office

Google Suite

Job description

• Deliver empathetic and professional customer service via phone and email, resolving member and provider inquiries.
• Accurately explain benefits, claims, eligibility, billing, networks, and prescriptions, and document all interactions in the CRM.
• Partner with internal teams and vendors for seamless resolution, and maintain compliance with HIPAA and other regulations.

Qualifications:

• 1-2 years of customer service or call center experience, with strong communication and problem-solving skills.
• Proficiency in using electronic systems, multitasking, and maintaining a structured schedule.
• Self-motivated, results-driven, and able to work in a fast-paced environment.
• Experience in health insurance or healthcare, familiarity with Microsoft Office and Google Suite.
• Active Health Insurance Producer License or willingness to obtain, experience with Medicare, Medicaid, or Marketplace plans.
• Fully remote role requiring a quiet workspace and reliable internet.
• Gravie is well-funded, non-hierarchical, and values authenticity, curiosity, and creative thinking.
• Benefits include flexible PTO, up to 16 weeks paid parental leave, and unique perks like paw-ternity leave and education reimbursement.

Gravie

Gravie creates innovative health benefits for small and midsize businesses, focusing on solutions that genuinely benefit employees. The company is well-funded, non-hierarchical, and merit-driven, with a culture that values authenticity, curiosity, and creativity.