Member Care Specialist

Do you have experience in the health care industry? Have you ever wondered what happens from the insurance aspect? If you answered yes to either of these questions, then we are the company for you!

As a third party administrator, we handle the insurance benefits (claims processing and customer service) for large employer groups as well as insurance carriers. Benefit Administrative Solutions is currently looking for motivated individuals to join our Member Care Team. At Benefits Administrative Solutions, member care is one of our top priorities! We believe in building a team atmosphere where everyone can be successful and grow with the company.

Job Description

The best Member Care Specialists are genuinely excited to help customers. They’re patient, empathetic and passionately communicative. Member Care Specialists can put themselves in their customers’ shoes and advocate for them when necessary. Problem-solving also comes naturally to Member Care Specialist. They are confident at troubleshooting and investigate if they don’t have enough information to resolve customer’s concerns. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction.

Job Duties and Responsibilities

• Handle customer phone inquiries professionally and accurately, while establishing and maintaining a high level of customer service.
• Use various internal systems, web-based software and other available tools to provide the most accurate and up to date information to internal and external customer base.
• Provide the most accurate and up to date information and/or follow proper procedure to reroute the call or request assistance when necessary. Always, follow up as needed.
• Maintain excellent working knowledge of company policy and procedures.
• Strictly adhere to and enforce all HIPAA and PHI guidelines at all times.
• Complete, concise and opinion-free documentation of calls when applicable.
• Adhere to established quality standards.

Qualifications

• Must maintain acceptable attendance and demonstrate the ability to function as a reliable member of operations.
• Previous Call Center Experience preferred.
• Written, verbal and interpersonal skills required for daily interaction with internal and external customers.
• Organizational skills and ability to multitask and prioritize in a fast-paced work environment while adapting to change in both the environment and workflows.
• Accurate data entry capabilities with minimal errors.
• Knowledge of Outlook and the use of basic spreadsheet functions using excel.

Proven ability to maintain good working relationships with co-workers, internal and external customers, as well as the ability to defuse irate callers and resolve difficult calls.

Job Type: Full-time

Pay: $16.00 - $21.00 per hour

Expected hours: No more than 40 per week

Benefits:

• Dental insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• healthcare field: 1 year (Preferred)

Ability to Relocate:

• Smithfield, UT 84335: Relocate before starting work (Required)

Work Location: In person