SCN Member Services Specialist
About The Position
The Member Service Specialist is a dedicated position within the Internal Hub responsible for member status visibility, complaint prevention, coordination issue resolution, and compliance support. This role serves as SCN's primary contact for members seeking updates regarding referrals, services, authorizations, and care coordination activities. The Member Service Specialist bridges communication gaps between members, care managers, providers, community organizations, and the Internal Hub to ensure members receive accurate information and timely assistance. This position plays a critical role in reducing complaints, improving member satisfaction, and supporting SCN's accountability and reporting obligations as a lead entity.
Requirements
- Bachelor's degree in social work, Human Services, Public Health, Healthcare Administration, Nursing, Psychology, or a related field.
- OR Minimum 3 years of experience in member services, healthcare, care coordination, customer service, or a related area.
- Strong communication, problem-solving, and customer service skills.
- Ability to manage sensitive situations with professionalism, empathy, and confidentiality.
Nice To Haves
- Experience with Medicaid, managed care, healthcare navigation, or social care programs.
- Familiarity with referral management systems, electronic records, and complaint tracking.
- Knowledge of community resources and care coordination workflows.
- Bilingual or multilingual skills are preferred.
Responsibilities
- Respond to member inquiries regarding referrals, services, authorizations, and care coordination.
- Track referral status and provide timely updates to members and stakeholders.
- Investigate and resolve member concerns in collaboration with care managers, providers, and community partners.
- Document member interactions, complaints, resolutions, and follow-up activities.
- Monitor referral outcomes and identify barriers to service completion.
- Support compliance reporting, quality initiatives, and audit preparation.
- Maintain accurate records and contribute to process improvement efforts.
Benefits
- 401(k) with Company Match
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Paid Time Off (PTO)
- Mileage Reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
