Remote Member Services Specialist

Liviniti; Natchitoches (LA); Remote; USD 17,000 - 25,000; Part time

Job summary

Liviniti is seeking a remote Member Services Agent to provide responsible customer service using comprehensive product knowledge. The role emphasizes HIPAA compliance and accurate record-keeping, with duties including handling inquiries, processing claims, and coordinating with internal teams.

The position is hourly and temporary, with flexible shifts. Strong communication, problem-solving, and multitasking abilities are essential for success in this call-center environment.

Qualifications

• High School or equivalent required.

Responsibilities

• Provide effective customer service using in-depth knowledge of company products and programs.
• Keep detailed records of customer interactions and actions taken.
• Follow up to resolve customers' problems.
• Refer unresolved grievances to designated departments for investigation.
• Review Rx insurance policy terms to determine claim coverage.
• Notify customers of claim results or planned adjustments.
• Resolve service or billing complaints.
• Abide by HIPAA obligations related to PHI and report violations.
• Attend required HIPAA training and stay up-to-date on HIPAA compliance.
• Duties may evolve; adapt to new tasks as assigned.

Skills

Interacting with Computers

Communicating with Supervisors

Getting Information

External Communications

Processing Information

Resolving Conflicts

Updating Knowledge

Organizing and Planning

Administrative Tasks

Decision Making

Customer Focus

Problem Solving

Time Management

Teamwork

Technical Capacity

Multitasking

Education

High School or equivalent

Job description

Liviniti is seeking a remote Member Services Agent to provide responsible customer service using comprehensive product knowledge. The role emphasizes HIPAA compliance and accurate record-keeping, with duties including handling inquiries, processing claims, and coordinating with internal teams.

The position is hourly and temporary, with flexible shifts. Strong communication, problem-solving, and multitasking abilities are essential for success in this call-center environment.