Healthcare Admin
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
The Member Services Specialist plays a crucial role in providing support to health plan members, employers, providers, and health plans by addressing inquiries and ensuring that callers receive the necessary information and assistance. This position requires a professional demeanor and the ability to handle complex issues while maintaining a calm and helpful attitude.
Responsibilities
• Handle inquiries from members, employers, providers, and health plan coordinators.
,
• Assess patient needs and provide assistance or route them to the appropriate department or party.
,
• Project a professional and helpful demeanor to all patients.
,
• Remain calm when handling difficult or upset patients.
,
• Consistently provide accurate and thorough information to patients.
,
• Use available resources to research and resolve moderately complex issues.
Requirements
• Care management experience
,
• Knowledge of managed care
,
• Familiarity with the healthcare industry
,
• Experience in health administration
,
• Troubleshooting skills
,
• Understanding of medical terminology
,
• Case management experience
,
• Customer service skills
,
• Data entry proficiency
,
• One or more years working in a health care or related business environment performing general office duties.
,
• High school diploma or GED required.
Nice-to-haves
• Experience working in a managed care environment preferred.
,
• Successful completion of a vocational/technical/business program in a related field of study, such as Medical Assistant or Medical Office Assistant, may be considered in lieu of work experience.
Benefits
• Remote work available with approval from the director if the queue is high.
,
• Flexible working hours with early morning start times as needed. Apply tot his job
The Member Services Specialist plays a crucial role in providing support to health plan members, employers, providers, and health plans by addressing inquiries and ensuring that callers receive the necessary information and assistance. This position requires a professional demeanor and the ability to handle complex issues while maintaining a calm and helpful attitude.
Responsibilities
• Handle inquiries from members, employers, providers, and health plan coordinators.
,
• Assess patient needs and provide assistance or route them to the appropriate department or party.
,
• Project a professional and helpful demeanor to all patients.
,
• Remain calm when handling difficult or upset patients.
,
• Consistently provide accurate and thorough information to patients.
,
• Use available resources to research and resolve moderately complex issues.
Requirements
• Care management experience
,
• Knowledge of managed care
,
• Familiarity with the healthcare industry
,
• Experience in health administration
,
• Troubleshooting skills
,
• Understanding of medical terminology
,
• Case management experience
,
• Customer service skills
,
• Data entry proficiency
,
• One or more years working in a health care or related business environment performing general office duties.
,
• High school diploma or GED required.
Nice-to-haves
• Experience working in a managed care environment preferred.
,
• Successful completion of a vocational/technical/business program in a related field of study, such as Medical Assistant or Medical Office Assistant, may be considered in lieu of work experience.
Benefits
• Remote work available with approval from the director if the queue is high.
,
• Flexible working hours with early morning start times as needed. Apply tot his job