San Antonio Remote Member Service Specialist

UnifyCX; San Antonio (TX); Remote; USD 21,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Vision insurance

Dental insurance

401(k) with 4% match

Other financial opportunities

Job summary

UnifyCX is seeking a Customer Service Representative in San Antonio, TX to handle incoming calls from insured customers, providers, and brokers, resolving inquiries and issuing authorizations when eligible.

You will join a global team delivering healthcare support services with a focus on accuracy, empathy, and timely updates. This full-time role offers work-from-home arrangements within the San Antonio area, a comprehensive benefits package, and opportunities for growth.

Qualifications

• Two years customer service or call center experience.
• Two years of experience in the health care industry or insurance environment preferred.
• Strong computer and technical skills to support heavy data entry.
• Excellent customer service skills (friendly, courteous and helpful).
• Excellent interpersonal verbal and written communication skills.
• Ability to diffuse volatile situations, share information, and educate callers regardless of customer level of understanding.
• Understanding of the health insurance or insurance industries.
• Strong execution and follow-up skills.
• Goal oriented with ability to meet production standards.
• Team orientation and ability to work effectively across functional areas of the company.
• Accurate and efficient data entry skills.
• Strong analytical skill and ability to demonstrate good judgment.
• Ability to coordinate multiple tasks and projects.
• Skilled in dealing with all customers in an efficient and effective manner.
• Bilingual English/Spanish (a plus but not required).

Responsibilities

• Receive, answer, and resolve calls from members, providers, and other external and internal constituents.
• Issue authorizations when eligible for services.
• Provide timely and accurate information regarding benefits, claims status, and other service details.
• Process customer claims according to established policies and procedures.
• Fulfill rapid call volume by handling the appropriate amount of incoming calls.
• Complete Provider Relations requests for service.
• Provide timely feedback regarding customer service failures and provider concerns.
• Partner with Sales and Provider Relations to meet and exceed customers’ expectations.
• Provide excellent customer service in a professional and courteous manner.
• Other duties as assigned by management.

Skills

Customer service

Call center

Health care/insurance knowledge

Bilingual English/Spanish

Job description

UnifyCX is seeking a Customer Service Representative in San Antonio, TX to handle incoming calls from insured customers, providers, and brokers, resolving inquiries and issuing authorizations when eligible.

You will join a global team delivering healthcare support services with a focus on accuracy, empathy, and timely updates. This full-time role offers work-from-home arrangements within the San Antonio area, a comprehensive benefits package, and opportunities for growth.