Health Specialist Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least one year of inbound call center or customer service experience.
• Ability to multitask effectively.
• Attention to detail and accuracy in a fast-paced environment.
• Proficiency in various Microsoft applications.
• Excellent verbal and written communication skills.

Nice To Haves

• At least two years of experience in healthcare or insurance.
• Familiarity with databases such as AS400.
• Bilingual English/Spanish ability.
• Understanding of medical terminology.

Responsibilities

• Listen actively to gather relevant information, build rapport, and respond to callers professionally, empathetically, and compassionately.
• Help members navigate the company website and member portals, encouraging them to become informed and self-sufficient.
• Resolve issues, find solutions, and provide information to members and customers accurately and promptly.
• Analyze member and customer inquiries to provide accurate information and appropriate resolution steps.
• Document provider and member interactions accurately, promptly, and in accordance with internal policies and procedures.
• Meet quality, quantity, and timeliness standards to achieve individual and department performance goals.
• Meet and exceed Quality Assurance call audit standards.

Benefits

• Medical, dental, and vision insurance.
• Company-paid long-term disability.
• Company-paid life insurance.
• Short-term disability.
• Accident insurance.
• Indemnity insurance.
• Critical illness coverage.
• 401(k) with company match; immediate vesting after six months.
• Paid time off (PTO).