Member Care and Provider Specialist/Customer Service (Healthcare)

Centivo • Buffalo, NY

84d

About The Position

Centivo is seeking Member Care/Provider Specialists to join our dynamic team. As a Member Care/Provider Specialist, you'll be a vital part of that mission, serving as a trusted guide and problem-solver for our members and provider partners. If you're driven by purpose, love helping others, and thrive in a fast-paced environment, we want to hear from you. Our next paid training program kicks off in June 2025, so now is the perfect time to apply!

Requirements

• Familiarity with the Microsoft operating system and its suite of applications (Outlook, Word, Excel)
• Ability to communicate professionally, both written and verbal
• Solid attention to detail and problem-solving abilities
• A calm, professional demeanor when handling calls
• A high school diploma or GED
• 1-2 years of experience in a provider office and/or fast-paced call center environment

Nice To Haves

• At least 1 year of hands-on experience in healthcare, health insurance, or a related field, with a strong understanding of medical or provider office operations
• Bilingual (Spanish/English preferred)

Responsibilities

• Answer incoming calls from members and providers with questions about benefits, eligibility, and claims
• Research and resolve complex issues using our tools, documentation, and outbound calls
• Educate members and providers on how to navigate our platform, benefits, and resources
• Accurately document every interaction and follow established procedures
• Calmly de-escalate concerns and handle first-level complaints with empathy
• Support appeals processes and ensure timely follow-up actions are taken

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED
• Number of Employees: 251-500 employees