Health Insurance Member Representative

Position: Health Insurance Member Representative

Location: 100% Remote
? You must have RELIABLE internet + HIPPA compliant home office!*

Duration: 6-month contract (possibility of extension!)

Overview: Our client is looking for qualified & professional Support Consultants to assist in their new health insurance program. This program provides virtual customer service in support of beneficiaries, family members, military personnel, and medical providers. Using a patient-centric approach, the team will assist callers to navigate and answer the health insurance program benefit questions, update the beneficiary demographics in the system, perform enrollments into the health insurance program, provide provider referrals, assist with prior authorization, assist with claim questions, assist with escalations and directions based off of specific medical diagnoses and questions of beneficiaries, and other calls related to their health insurance benefits & provider network.

Responsibilities:

? Ensure incoming communications are answered promptly, appropriately, and courteously

? Demonstrate a ?can do? and professional attitude when servicing beneficiaries and clients with the objective of exceeding expectations with the service provided

? Provide callers with informed and objective responses to complex or escalated concerns regarding program eligibility requirements, enrollments, and program benefits.

? Provide callers with appropriate & informed responses regarding provide referrals, prior authorization question support, claims questions, general medical question & direction support, and more.

? Deescalate and manage complaints in a professional manner, resolving them wherever possible or escalating them to the appropriate department or line manager

? Accurately perform all data entry functions to reflect and document client activity/transactions and do so in a timely manner

? Ability to multi-task and have multiple screens/programs opened at the same time

? Actively participate in and support departmental and organizational quality initiatives and goals

? Comply with HIPAA (Health Insurance Portability and Accountability) privacy rules

Requirements: ? 3+ plus of contact center experience, preferably in healthcare related field ? Experience with healthcare insurance plans and billing required ? High School Degree required ? Ability to obtain US Security Clearance required ? Reliable high-speed internet

Job Types: Full-time, Contract

Pay: $18.75 per hour

Benefits:
? Dental insurance
? Health insurance
? Vision insurance
? Work from home

Application Question(s):
? Do you have flexibility for a shift?
? Have you worked for a Health Insurance Plan previously?
? Are you comfortable with a high volume of inbound calls?

Education:
? High school or equivalent (Required)

Experience:
? Healthcare: 3 years (Required)
? Health Insurance Plans: 1 year (Required)
? Call Center: 2 years (Required)
? Remote: 1 year (Preferred)
? Health Insurance Enrollment: 1 year (Required)
? High Volume of Inbound Calls: 1 year (Required)

Work Location: Remote

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