Role and Mission:
- Play a critical role in delivering compassionate, seamless service to valued members, primarily older adults and individuals with disabilities.
- Go beyond answering questions to build caring connections and own the member experience, always aiming for first-contact resolution.
Key Responsibilities:
- Assist members with provider network and claim inquiries, benefit questions, and complex service needs, proactively identifying solutions.
- Answer incoming contacts within established service levels while managing sensitive situations with professionalism and care.
- Thoroughly document all member interactions in real time to ensure accuracy and continuity of care.
Requirements and Environment:
- Requires 2+ years of customer service experience, preferably in healthcare or Medicare Advantage, and a high school diploma or GED.
- Must have a minimum typing speed of 40 WPM and proficiency in Microsoft Office, CRM, and contact center solutions.
- Workspace must be free of distractions with sufficient internet bandwidth and technology to maintain strict confidentiality and HIPAA compliance.
Alignment Health
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill. It is a fast-growing company with a team passionate about transforming lives through high-quality, low-cost care.