Wedding Coordinator

Leigh and Co.; Columbia (SC); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

Generous PTO

Medical and Prescription

EAP

Vision

Life and Disability

STD/LTD

Voluntary Benefits: Critical Illness,

Accident, Hospital

401k with Employer Match

Identity Theft Protection

Job summary

Marpai Administrators, a technology-driven national TPA, seeks a Customer Service Advocate to handle member, provider, and vendor interactions by phone, fax, email, SMS, and chat. You will resolve eligibility, benefits, and claims issues and collaborate with the claims team to ensure accurate processing.

Educate and counsel members and providers on eligibility and pre-certification, document CRM communications precisely, and suggest network providers or wellness programs.

Qualifications

• Minimum 3 years of customer service in a call center.
• Excellent written communication and documentation skills.
• Ability to communicate with all levels professionally.
• Ability to multitask and manage multiple projects.
• Strong attention to detail and deadlines.
• MS Office proficiency (Outlook, Word, Excel, PowerPoint, Adobe Reader).
• Medical terminology and/or insurance experience.
• Adaptable to a fast-paced, high-volume environment.
• HS Diploma; college coursework a plus.

Responsibilities

• Handle incoming interactions from members, providers, and vendors within service protocols.
• Resolve issues related to eligibility, benefits, and claims.
• Outbound follow-ups with members and providers to advance tasks.
• Educate and counsel members and providers on eligibility information and Pre-Certification.
• Work with the claims department to ensure accurate processing.
• Create and document CRM communications with members and providers.
• Recommend network providers and wellness programs.
• Anticipate customer needs and follow up with previous customers.

Skills

Communication

Multitasking

Time management

Detail oriented

Education

HS Diploma

Tools

Outlook

Word

Excel

PowerPoint

Adobe Reader

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators ("Marpai") is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

Full-time

ABOUT THE POSITION:
The Customer Service Advocate is responsible for ensuring Marpai Administrators' interactions are executed at all levels for our clients, members, and providers. This position is responsible for the resolution of all incoming interactions. The Customer Service Advocate will be interacting with members, providers, and vendors through phone, fax, email, SMS, and chat.

WHAT YOU WILL BE DOING:

• Handle incoming interactions received from members, providers, and vendor contacts within defined service protocols.
• Resolve member and provider issues concerning eligibility, benefits, and claims.
• Outbound interactions with members and providers following up on a task.
• Educating and counseling members and providers:
• Eligibility Information
• Pre-Certification Information
• Doctor and/or Facility Network Validation
• Outbound interactions with providers to ensure Pre-Certification/Authorization is completed.
• Work closely with the claims department to ensure claims are accurately processed.
• Create and document CRM to precisely communicate with the members and providers.
• Recommend network providers, wellness programs, and additional employer-offered benefits.
• Anticipate customer needs, following up with previous customers to offer additional information and service.
• Training completed 100% Online.
• Other duties as assigned

WHAT DO YOU NEED

• Minimum of 3 years of Customer Service experience in a call center is required.
• Ability to communicate with all levels of people to illustrate superior professionalism.
• Excellent written communication and documentation skills.
• Ability to manage multiple projects to a successful conclusion.
• Analytical ability to research and deal with situations where limited standardization exists.
• Attention to detail with the ability to prioritize and meet deadlines.
• Must have basic knowledge of all desktop computer applications such as MS Office including Outlook, Word, Excel, PowerPoint, and Adobe Reader.
• Ability to adapt and be flexible in a variety of situations.
• Ability to multitask and possess strong time management skills.
• Medical terminology and/or insurance experience.
• Experience in a fast pace, high call volume environment.
• HS Diploma, college a plus

WORK REQUIREMENTS:

• Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

WHY WORK AT MARPAI?
We have great benefits:

• Generous PTO
• Medical and Prescription
• EAP
• Vision
• Life and Disability
• STD/LTD
• Voluntary Benefits: Critical Illness, Accident, Hospital
• 401k with Employer Match
• LegalShield
• Identity Theft Protection

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.