Remote Healthcare Support Specialist

Jobgether; Oregon; Hybrid; USD 48,000 - 55,000; Full time

Benefits offered by this job

Competitive salary

Fully remote

Health benefits

401(k) matching

Career growth

Job summary

Jobgether is seeking a Support Services Specialist based in the United States to deliver a superior support experience to healthcare members and providers. You will guide users through benefits, eligibility, claims, and authorizations with empathy and clear communication.

You will collaborate with cross-functional teams to resolve complex inquiries, educate users on plans and digital resources, and help improve support operations in a technology-driven healthcare environment.

Qualifications

• Previous experience in customer support, member services, provider services, healthcare administration, or a related field.
• Strong verbal and written communication skills, with the ability to explain complex information clearly and professionally.
• Excellent interpersonal skills, including empathy, active listening, and a genuine commitment to delivering high-quality service.
• Strong attention to detail and a consistent focus on accuracy when handling sensitive information and resolving inquiries.
• Excellent problem-solving and critical-thinking abilities, with the capacity to investigate issues and identify effective solutions.
• Ability to prioritize multiple responsibilities and manage workloads efficiently in a fast-paced, detail-oriented environment.
• High levels of dependability, accountability, integrity, and professionalism.

Responsibilities

• Handle inbound calls from healthcare members and providers, delivering professional, empathetic, and solution-oriented assistance.
• Provide accurate information and guidance regarding healthcare benefits, eligibility, claims status, authorizations, and network participation.
• Investigate and resolve complex inquiries by coordinating with internal teams and relevant stakeholders.
• Educate members and providers on healthcare plan policies, digital tools, available resources, and support processes.
• Identify issues requiring additional assistance and escalates them appropriately to ensure timely and effective resolution.
• Protect sensitive information and maintain strict confidentiality in accordance with HIPAA regulations and applicable privacy requirements.
• Consistently meet or exceed performance expectations related to call quality, response times, accuracy, and customer satisfaction.
• Contribute to the continuous improvement and development of support operations as the organization expands and takes on new challenges.

Job description

Jobgether is seeking a Support Services Specialist based in the United States to deliver a superior support experience to healthcare members and providers. You will guide users through benefits, eligibility, claims, and authorizations with empathy and clear communication.

You will collaborate with cross-functional teams to resolve complex inquiries, educate users on plans and digital resources, and help improve support operations in a technology-driven healthcare environment.