Member Care Specialist

Buffalo. Centivo. Member Care Specialist $18 - $20/hour. We exist for workers and their employers - who are the backbone of our economy. That is where Centivo comes in - our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is looking to hire Member Care/Provider Specialists to join our team prior customer service experience is a plus. Our paid training program is scheduled to start on October 7, 2024. Training will be remote, Monday - Friday from 8:00 am to 4:30 pm. After training is completed, you will work a specific shift. A career in healthcare needs to begin somewhere and we believe this is a great place to kick it off (and grow) with an hourly rate starting at $18 (up to $20 depending on prior experience). If you think you'd like: Supporting members and healthcare providers on inquiries Researching and solving complex problems Educating members and healthcare providers on benefits and navigation of our site, and Disrupting the healthcare system you might be our next Member Care Specialist Still reading? Here is more about the opportunity. What you'll do: Accept inbound calls from members and providers on inquiries about benefits, eligibility, and claims Research complex inquiries by use of tools, documentation, and outbound calls Educate members and providers on 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 assist with appeals as needed; You should have: High school diploma or GED Prior office experience Familiarity with the Microsoft operating system and its suite of applications (Outlook, Word, Excel) and can quickly learn other proprietary computer systems Ability to communicate professionally, both written and verbal Attention to detail Problem solving skills These are not required, but would be nice to have: 1-2 years of experience in provider billing or health care insurance billing Fast-paced Call Center experience Bilingual Our Values: Resilient This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don't give up. Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. Positive We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit . Follow link to apply through company website:

Created: 2024-10-19