Member Customer Service, Benefit Value Advisor
About The Position
Being a compassionate and dedicated advocate for the member to demonstrate a concierge attitude when assisting members with maximizing their benefits. Navigating the healthcare system and reaching their optimal health. Responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Conducting research. Spending approximately 90 of the scheduled time on the phone according to business need. This role will have onsite training in Richardson and training cannot be done remotely.
Requirements
- High school diploma OR GED.
- 6 months customer service experience OR 6 months experience in an office environment.
- Clear and concise verbal and written communication skills, including motivational interviewing to interact with the members and physicians.
- Expertise and ability to successfully execute concierge level service for all members.
- Experience evaluating customer situations, making decisions, and responding quickly to questions.
- Data entry and/or typing experience.
- Interpersonal, verbal, and written communication skills and independent decision-making skills.
- Analytical and organizational skills.
- Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.
- Web and PC proficiency.
Nice To Haves
- 6 months customer service experience in a health care or health insurance environment.
- 6 months data entry experience in an office environment.
- Knowledge with health benefit plans and the insurance industry.
- Experience working with additional offerings (Ex: CDHP, Medicare, Wellness, Care and Condition Management).
- Knowledge of medical terminology and anatomy.
Responsibilities
- Assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner.
- Conduct research.
- Spend approximately 90% of the scheduled time on the phone according to business need.
- Provide concierge level service for all members.
- Evaluate customer situations, make decisions, and respond quickly to questions.
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
