Salary
💰 $47,029 - $70,544 per year
About the role
- Provides in-market, specialized member support
- Conducts in-market member engagement including Welcome Calls and New Member Onboarding
- Ensures members have access to PCP and specialists to coordinate care
- Educates members on gaps in care and assists with scheduling appointments
- Communicates with PCP with any member updates and requests
- Assists with obtaining medical records from healthcare providers
- Resolves incoming calls concerning members’ eligibility, benefits, and clinical needs
- Participates in on-site member engagement activities as needed
Requirements
- Minimum 1 year of customer service experience
- Knowledge of ICD-10 and CPT codes
- Keyboard typing 40+ words per minute
- Ability to help members navigate access to care through Medicare Advantage or HMO
- Ability to communicate positively and professionally with others
- Effective written and oral communication skills
- Ability to read and interpret documents
- Ability to perform mathematical calculations
- Effective problem-solving, organizational, and time management skills
- Bilingual English/Spanish or English/Vietnamese or English/Mandarin preferred
- Health insurance
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10 codesCPT codeskeyboard typing 40+ words per minute
Soft skills
customer servicecommunicationproblem-solvingorganizational skillstime managementeffective written communicationeffective oral communication