Health Care Customer Service Advocate
About the Company: We are seeking a dedicated Healthcare Customer Service Representative to join our team. This role involves assisting members with inquiries related to their insurance plans, eligibility, benefits, and claims. The ideal candidate will have a strong understanding of various insurance plan types and excellent communication skills.
About the Role: Healthcare Basics
ย Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
ย Familiarity with common insurance terminology and procedures.
Key Responsibilities:
ย Phone Skills
ย Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent.
ย Make outbound calls to members, vendors, and other departments.
ย Follow established call flow processes for member interactions.
ย Understand and apply protocols for using the language line for effective communication.
ย * Eligibility and Enrollment
ย Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT.
ย Confirm member eligibility and plan effective dates.
ย Manage member correspondence, including sending plan documents and updating demographics.
Apply Now
About the Role: Healthcare Basics
ย Recognize and understand various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
ย Familiarity with common insurance terminology and procedures.
Key Responsibilities:
ย Phone Skills
ย Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent.
ย Make outbound calls to members, vendors, and other departments.
ย Follow established call flow processes for member interactions.
ย Understand and apply protocols for using the language line for effective communication.
ย * Eligibility and Enrollment
ย Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT.
ย Confirm member eligibility and plan effective dates.
ย Manage member correspondence, including sending plan documents and updating demographics.
Apply Now