Member Customer Service, Benefit Value Advisor

Health Care Service Corporation•Richardson, TX
•$18 - $28•Hybrid

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.

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.
  • Demonstrate a concierge attitude when assisting members with maximizing their benefits, navigating the healthcare system, and reaching their optimal health.

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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