Centivo

Member/Provider Care Specialist

Centivo

full-time

Posted on:

Origin:  • 🇺🇸 United States • New York

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Salary

💰 $20 - $23 per hour

Job Level

Mid-LevelSenior

About the role

  • Accept inbound calls from members and providers on inquiries pertaining to benefits, eligibility, and claims
  • Research complex inquiries by use of tools, documentation, and outbound calls
  • Educate members and providers on the benefits and navigation of Centivo site, tools, and applications
  • Document all interactions and ensure proper processes/procedures are followed and follow-up action is taken
  • De-escalate calls when necessary
  • Address first-level complaints and provide assistance on appeals as needed;

Requirements

  • High school diploma or GED
  • Some computer skills
  • Familiarity with the Microsoft operating system and their suite of applications (Outlook, Word, Excel)
  • Can quickly learn other proprietary computer systems
  • Ability to communicate professionally, both written and verbal
  • Attention to detail
  • Problem-solving skills
  • Fast-paced call center experience (nice to have)
  • Previous claims experience and/or medical billing experience (nice to have)
  • Bilingual (Spanish/English preferred) (nice to have)