Remote Healthcare Member Support Specialist

VXI Global Solutions; United States; À distance; USD 25 000 - 34 000; Plein temps

Avantages offerts par ce poste

Competitive Pay

Comprehensive Benefits

Work Environment

Career Growth

Inclusive Workplace

Cell Phone Benefits

Referral for Life Program

Résumé du poste

Trusted Leader in Healthcare Services is seeking a remote Customer Service Specialist to handle inquiries related to Member Services, Medicare, and Billing. You will document interactions, maintain HIPAA privacy, and explain plan benefits with providers and members.

A minimum of two years in healthcare or customer service, strong written and verbal communication, and the ability to learn multiple systems are required.

Qualifications

• Minimum of two (2) years of customer service or healthcare member-interaction experience.
• Previous call center experience and/or prior experience in the health insurance industry (preferred).

Responsabilités

• Manage inquiries in areas such as Member Services, Medicare, and Billing.
• Represent client professionally by addressing and documenting all incoming queries.
• Analyze and evaluate customer issues to initiate and coordinate service recovery measures.
• Document all member interactions meticulously following established procedures.
• Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.).
• Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.

Connaissances

Customer service

Communication skills

Problem solving

Typing speed

Remote work

Formation

High School Diploma or GED

Outils

CRM systems

EMR/EHR

Ticketing systems

Description du poste

Trusted Leader in Healthcare Services is seeking a remote Customer Service Specialist to handle inquiries related to Member Services, Medicare, and Billing. You will document interactions, maintain HIPAA privacy, and explain plan benefits with providers and members.

A minimum of two years in healthcare or customer service, strong written and verbal communication, and the ability to learn multiple systems are required.