Member Care & Provider Specialist
About The Position
We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking Member Care/Provider Specialists to join our dynamic team. In this role, you will play an important part in our mission by serving as a trusted resource and problem-solver for both members and provider partners. If you are purpose-driven, enjoy helping others, and thrive in a fast-paced environment, we would love to hear from you. Our next paid training program begins Monday, June 1, 2026, making this a great time to apply. What you'll love about this role: Supporting members and healthcare providers with questions and service needs Solving complex issues with empathy, resourcefulness, and care Educating members and providers on benefits, tools, and navigation of our site and applications Being part of a team that is improving the healthcare experience in a meaningful way
Requirements
- Proficiency with Microsoft Office applications, including Outlook, Word, and Excel
- Strong written and verbal communication skills
- Excellent attention to detail and solid problem-solving abilities
- Ability to remain calm, professional, and customer-focused while handling calls
- High school diploma or GED
- 1–2 years of experience in a provider office, healthcare setting, and/or fast-paced call center environment
Nice To Haves
- At least 1 year of direct experience in healthcare, health insurance, or a related field, with a strong understanding of medical terminology and/or provider office operations
- Bilingual in Spanish and English preferred
Responsibilities
- Answer incoming calls from members and providers regarding benefits, eligibility, and claims
- Research and resolve complex issues using internal tools, documentation, and outbound outreach
- Educate members and providers on platform navigation, benefits, and available resources
- Accurately document each interaction and follow established procedures
- De-escalate concerns and handle first-level complaints with professionalism and empathy
- Support appeals processes and ensure timely follow-up actions are completed
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
