Senior Care Navigator & Member Services

ArchWell Health; Jacksonville (FL); On-site; USD 45,461,000 - 57,859,000; Full time

Job summary

ArchWell Health in Jacksonville, FL is seeking a Member Services Representative to help our seniors navigate the complex healthcare system. You will verify members' primary care physicians and eligibility, and coordinate with insurance plans to ensure proper ArchWell assignment.

The role may involve provider data validation with partners and advancing our mission of respectful, accessible care. The ideal candidate will have strong attention to detail, proficiency with Microsoft Office and Excel,

Qualifications

• High school diploma or GED required.
• At least 1 year of healthcare experience, preferably related to benefits and insurance.
• Familiarity with Medicare Advantage concepts.
• Proficient in Microsoft Office and Excel.

Responsibilities

• Outreach to members and insurance partners by phone to verify ArchWell Health assignment and schedule appointments.
• Complete proper documentation of all member and payor outreach.
• Assist members in problem solving potential issues related to the health care system.
• Validate provider data on file with insurance partners.
• Utilize and manipulate shared Excel spreadsheets to track membership and interactions.

Skills

MS Office

Excel

Patient care

Medicare Advantage

Diversity communication

Education

High school diploma or GED

Tools

eClinical Works

EMR systems

Job description

ArchWell Health in Jacksonville, FL is seeking a Member Services Representative to help our seniors navigate the complex healthcare system. You will verify members' primary care physicians and eligibility, and coordinate with insurance plans to ensure proper ArchWell assignment.

The role may involve provider data validation with partners and advancing our mission of respectful, accessible care. The ideal candidate will have strong attention to detail, proficiency with Microsoft Office and Excel,