Customer Care Advocate

Wellnet Healthcare • Bethesda, MD

286d

About The Position

As a national healthcare management firm, WellNet creates lower cost level-funded and self-funded health insurance plans for companies offering employee benefits. With less margin, more technology and a frictionless member experience, our PPO plans, Reference Based Pricing options, and Hybrid plans lower healthcare expenses today and limit increases tomorrow. WellNet finally helps businesses and their members take back the profits from traditional health insurance companies.

Requirements

• This is an in-person position located in Trevose, PA.
• College degree- minimum Associates degree.
• Previous experience in a call center desired, but not required.
• Experience in health insurance industry a plus.
• Working knowledge of Microsoft Office.
• Has a strong sense of professionalism and personal accountability.
• Strong Communication skills and phone etiquette.
• Highly effective listening skills.
• Problem solving.

Responsibilities

• Ensure front-line client satisfaction to all parties; Members/Providers/Clients in a call center setting environment.
• Answer inbound calls from Multiple call queues.
• Review plan benefit to determine unique plan provisions for call handling.
• Interfacing with providers to provide benefit plan details and updating member insurance information.
• Claim Status for providers/members.
• Manage tasks with timely follow-up, which involves interaction with members, providers, and other vendors. Ensuring complete resolution of call.
• Outreach for information needed to complete claims processing.
• Documentation of all calls and follow up items.
• Overpayment resolution.
• New Hire/Open Enrollment assistance.
• Other Support Duties as needed.

Benefits

• Competitive compensation package.
• Health benefits.
• 401k.
• Ongoing training.
• Paid vacation time.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree