Support Services Specialist

Jobgether; United States; Remote; USD 48,000 - 55,000; Full time

Benefits offered by this job

Fully remote

Equity opportunities

Comprehensive health benefits

401(k) with employer matching

Career development

Job summary

Jobgether is seeking a Support Services Specialist based in the United States to deliver outstanding assistance to healthcare members and providers. You will be the primary contact for navigating benefits, eligibility, claims, and authorizations, working from a fully remote setup.

You will collaborate with cross-functional teams, educate users on plans and digital tools, uphold HIPAA confidentiality, and strive to exceed performance metrics while contributing to evolving support operations.

Qualifications

• Experience in customer support or member services in healthcare.
• Clear written and verbal communication.
• Empathy and active listening in fast-paced settings.
• Attention to detail and confidentiality per HIPAA.
• Ability to collaborate with cross-functional teams.
• Spanish language proficiency considered a plus.

Responsibilities

• Handle inbound calls from members and providers with professional, empathetic support.
• Provide guidance on benefits, eligibility, claims, and authorizations.
• Investigate and resolve complex inquiries with internal teams.
• Educate on plans, policies, and digital resources.
• Elevate issues needing extra assistance to ensure timely resolution.
• Protect sensitive information in compliance with HIPAA.
• Maintain high performance on call quality, response times, and satisfaction.
• Contribute to ongoing improvement of support operations.

Skills

Customer support

Communication

Empathy

Problem-solving

HIPAA

Spanish

Job description

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Support Services Specialist based in the United States.

As a Support Services Specialist, you will play a key role in delivering an outstanding support experience to healthcare members and providers. You will serve as a primary point of contact, helping individuals navigate their healthcare benefits, eligibility, claims, and authorizations. Through clear communication, empathy, and effective problem-solving, you will ensure that inquiries are handled accurately and efficiently. You will collaborate with cross-functional teams to resolve complex issues and provide guidance on healthcare plans, policies, and digital resources. This is an opportunity to contribute to a growing, technology-driven healthcare environment focused on improving access to care and simplifying healthcare administration. You will also help strengthen support operations while delivering meaningful value to members and providers.

Accountabilities

• 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 elevate 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.

Requirements

• 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.
• A collaborative mindset and the ability to work effectively with cross-functional teams.
• Familiarity with HIPAA regulations, CMS guidelines, or managed care practices is an advantage.
• Experience with innovative healthcare plan models, including Reference-Based Pricing (RBP), cash payment models, and employer-sponsored Direct Primary Care, is considered a strong asset.
• Bilingual proficiency, particularly in Spanish, is a plus.

Benefits

• Competitive annual salary ranging from $48,000 to $55,000, depending on experience, location, and desired equity.
• Equity opportunities.
• Comprehensive health benefits.
• 401(k) retirement plan with employer matching contributions.
• Fully remote working arrangement, offering flexibility in where you work.
• Career development and professional growth opportunities.
• Opportunity to contribute to an innovative and evolving healthcare environment.
• High-trust working culture built on transparency, autonomy, and collaboration.
• Regular working schedule: Monday to Friday, 9:00 AM to 6:00 PM EST.

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

We appreciate your interest and wish you the best!