Member Services Specialist


Job Details

Overview:

Now is the time to join us!

Were Personify Health. Were the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses like yours optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, were shaping a healthier, more engaged future.



Responsibilities:

Who are you?

As a Member Services Specialist youll leverage your expertise in health benefits and customer service to serve as an advocate for our members to support their healthcare needs. Member Services Specialist must thoughtfully identify solutions to intricate and often complex matters within the health benefits industry to ensure our members needs are met. This role will require a high level of customer service support to our members with a key focus on an empathetic resolution-oriented approach via inbound/outbound calls, email, and chat.

In this role you will wear many hats, but your knowledge will be essential in the following:

  • Accept inbound calls from members and providers on inquiries pertaining to benefits, eligibility, and claims
  • Research unique/complex inquiries by leveraging tools provided.
  • Educate members and providers on benefits and navigation of site, tools, and applications.
  • Document all interactions and ensure appropriate processes/procedures are followed.
  • De-escalate calls when necessary.
  • Address and resolve member inquiries helping them to better understand their healthcare options.

Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.



Qualifications:

What you bring to the Personify Health team

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

  • High School diploma or equivalent (GED).
  • Preferred experience in the healthcare industry, particularly in healthcare, health insurance, medical office, or clinical roles such as front desk, billing, or admissions.
  • 1+ years of professional experience in contact center is strongly preferred.

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

  • Proficient in computer usage with a strong command of Windows and Microsoft Office.
  • Knowledge of Microsoft Excel and familiarity with insurance database systems is an advantage.
  • Ability to maintain composure and demonstrate empathy while multi-tasking to solve member needs.
  • Quick learner with a keen attention to detail.
  • Ability to thrive in a fast-paced work environment.
  • Excellent written and verbal communication skills.
  • Remote work is possible depending on experience

No candidate will meet every single desired qualification. If your experience looks a little different from what weve identified and you think you can bring value to the role, wed love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges up to $21.00 per hour. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.





 VirginPulse

 06/15/2024

 Ripley,WV