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2 Member Services Specialist Jobs in Ripley, WV

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Virgin Pulse
Ripley, WV | Full Time
$31k-38k (estimate)
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VirginPulse
Ripley, WV | Full Time
$31k-38k (estimate)
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Member Services Specialist
VirginPulse Ripley, WV
$31k-38k (estimate)
Full Time 1 Week Ago
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VirginPulse is Hiring a Member Services Specialist Near Ripley, WV

Overview

Now is the time to join us! 

Virgin Pulse and HealthComp are now Personify Health. The industry’s first personalized health platform company combines health, wellbeing, and navigation solutions to deliver powerful outcomes to businesses and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

As a Member Services Specialist you’ll 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.

You’ll 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 we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

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

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.

Job Summary

JOB TYPE

Full Time

SALARY

$31k-38k (estimate)

POST DATE

05/19/2024

EXPIRATION DATE

05/17/2025

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The following is the career advancement route for Member Services Specialist positions, which can be used as a reference in future career path planning. As a Member Services Specialist, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Member Services Specialist. You can explore the career advancement for a Member Services Specialist below and select your interested title to get hiring information.