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US 4w PTO

  • Maintain positive customer relationships by responding to inquiries via phone.
  • Provide information and education about IRS regulations and spending accounts.
  • Serve as a customer advocate by identifying needs and guiding them to resources.

Customer Service Microsoft Word Outlook Teams Windows

20 jobs similar to Member Service Specialist I

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US Unlimited PTO

  • Provide a seamless, high-quality support experience to members
  • Assist members with insurance education, eligibility, and enrollment support
  • Submit applications to carriers and own cases through approval

Vitable is a health benefits platform making healthcare better for employers of everyday workers. They bring accessible, high-quality care to over 85 million uninsured and underinsured Americans. Vitable is growing rapidly and looking for eager team members who are hungry for change and passionate about delivering better care to the everyday worker.

US

  • Reaching out to health plan members.
  • Guiding them toward scheduling their care assessments.
  • Giving them the encouragement they need to take that next step.

Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.

  • Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
  • Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
  • Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

$20–$21/hr
US

  • Make at least 100 outbound, cold calls a day
  • Deliver effective and enthusiastic communication to encourage members to utilize Transcarent's services
  • Provide concierge level service and instill trust in our team

Transcarent is a health and care platform bringing medical, pharmacy, and point solutions together. They empower health consumers with more choice, access to higher-quality care, and lower costs for 21 million members across 1,700 employers and health plans.

US

  • Manage multiple channel interactions professionally and efficiently.
  • Effectively present products/services to providers with integrity, understanding, and accuracy.
  • Focus on provider retention through first call resolution and maintain positive relationships.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.

US

  • Handle inbound and outbound calls to support our healthcare client.
  • Expected to deliver exceptional customer service by adhering to established protocols and guidelines.
  • Utilize various web-based systems to efficiently address and resolve customer inquiries.

Senture is a global company that embraces diversity and never discriminates against employees or applicants based on gender identity or expression, sexual orientation, race, religion, age, national origin, citizenship, disability, pregnancy status, veteran status, or other differences. They have employees from various backgrounds and lifestyles.

US

  • Manage telephone, electronic, and face-to-face interactions professionally and efficiently.
  • Effectively present and discuss products and services to customers with integrity and accuracy.
  • Focus on customer retention by resolving concerns and enhancing the member experience.

Capital Blue Cross is committed to going the extra mile for their team and community. They are a caring team of supportive colleagues where your health and wellbeing are prioritized.

US

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.

US

  • Answering questions related to HealthCheck360 products, services, and programs through phone, email and chat
  • Assisting with tasks such as processing Physician’s Screening Forms and participant outreaches
  • Providing feedback and solutions to improve efficiencies and the participant experience

Cottingham and Butler’s Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity. They provide onsite biometric screenings, technology and programming, risk-specific targeted communications, and behavior change programs.

US

  • Handle inbound calls and chat boxes from our members regarding Sidecar Health’s products and services.
  • Provide excellent customer service in a timely and positive manner.
  • Build rapport and maintain positive relationships with existing members to understand their needs and ensure a memorable member experience.

Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and accessible. Their team comes from diverse backgrounds and shares a desire to fix a broken system, making healthcare personalized, affordable, and transparent.

US

  • Educate recipients about the Pathways Program offerings and enrollment options.
  • Introduce managed care choices to recipients and aid in navigating health care and dental plans.
  • Cultivate positive relationships with county staff, state agencies, community groups, and recipients.

Knowledge Services is a company that provides workforce management solutions. They are committed to working with individuals with disabilities and providing reasonable accommodations.

US

  • Answer incoming calls to assist customers and their employees with FMLA administration.
  • Handle a high volume of calls and provide professional follow-up via phone and email.
  • Maintain accurate documentation of leaves within the proprietary database.

ComPsych is a worldwide leader in organizational mental health, well-being, and absence management, dedicated to igniting human potential in workplaces across the globe. For over 40 years, they have combined technology with human expertise to help individuals and their organizations thrive.

US

  • Handle customer inquiries and analyze payment history.
  • Communicate account statuses and recommend solutions.
  • Maintain accurate records of customer interactions.

Sutherland is a digital transformation company that helps customers globally achieve greater agility and transform automated customer experiences. As a Great Place to Work certified company, they have been in business for over 35 years and work with well-known brands.

US

  • Researches requests for review of resolvable claims from providers.
  • Compiles information related to member appeals that request an Executive Review.
  • Provides copies of necessary documents and submits information to the Appeals and Policy Manager for review.

PEHP Health & Benefits is a division of the Utah Retirement Systems that serves Utah’s public employees through competitively priced medical, dental, life, and long-term disability insurance plans on a self-funded basis. They embrace both a public mission and a commitment to creating customer value.

US

  • Engage and enroll eligible health plan members in supportive care services.
  • Educate members on Tuesday Health’s service offerings and support ongoing engagement.
  • Provide ongoing telephonic customer service to members and their caregivers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.

US

  • Contacts insurance companies for status on outstanding claims.
  • Processes and follows up on appeals to insurance companies.
  • Works outstanding accounts receivable from assigned work queues.

US Anesthesia Partners is dedicated to providing high-quality anesthesia services. They offer equal employment opportunities to all employees and applicants.

US 3w PTO

  • Answer calls, emails, and contacts, screening, transferring, resolving and disposing of calls while following process/documentation standards.
  • Review, process, schedule, and authorize orders according to department protocols; ensure updates and communication are documented in source systems.
  • Coordinate participants’ appointments, troubleshoot conflicts, communicate with stakeholders, and meet appointment turn-around times as outlined in WelbeHealth's protocol.

WelbeHealth's PACE program helps seniors remain in their homes and communities through medical care and community-based services, providing all-inclusive care. They are driven by core values and a participant-focused approach, fostering an encouraging and loving environment for employees.

US

  • Enjoy making outbound calls and reaching out to patients, members, and customers
  • Outreach to patients to schedule appointments for preventative health screenings
  • Assist members and patients with benefits and insurance information

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.

US 4w PTO

  • Handle inbound and outbound customer calls, secure messages, and/or emails in a fast-paced contact center environment.
  • Use effective communication and probing questions and critical thinking skills to identify customer needs and provide relevant solutions which may include offering banking products.
  • Advise and educate customers on available Forbright's digital tools and resources to improve the user experience.

Forbright is a full-service bank and commercial lender focused on helping to build a brighter future for our clients and the communities we serve. We are a dynamic, high energy, fun, and fast-paced organization that has an exciting growth trajectory and a meaningful mission.

US

  • Handle inbound calls and chats, averaging 30–35 interactions daily.
  • Provide single call resolution and escalate issues effectively.
  • Maintain customer records in Salesforce.com.

Ferguson provides quality supplies for various industries since 1953. As a Fortune 500 company with approximately 36,000 associates across 1,700 locations, they aim to simplify complex projects for customers and promote a culture of growth and service.