Overview
On Site
Depends on Experience
Contract - W2
Job Details
Member Services Specialist | Irving, TX | Contract
Walker Healthforce is seeking a Member Services Specialist for a healthcare client located in Irving, TX. This is a contract opportunity.
START DATE: ASAP
Walker Healthforce Standard Perks:
JOB SUMMARY
The Member Services Specialist will play a crucial role in ensuring our members' highest level of customer satisfaction. The Specialist will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time. The primary focus will be on assisting members with their healthcare-related needs, including but not limited to insurance inquiries, benefit explanations, and general account information. Within the Member Services Specialist team, this entry role provides an opportunity for growth and development within our organization.
JOB REQUIREMENTS
PREFERRED JOB REQUIREMENTS
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Walker Healthforce is seeking a Member Services Specialist for a healthcare client located in Irving, TX. This is a contract opportunity.
START DATE: ASAP
Walker Healthforce Standard Perks:
- Weekly pay via Direct Deposit
- Medical, Dental, and Vision Available
- 401K
JOB SUMMARY
The Member Services Specialist will play a crucial role in ensuring our members' highest level of customer satisfaction. The Specialist will be responsible for providing exceptional customer service and resolving inquiries, concerns, and complaints professionally and on time. The primary focus will be on assisting members with their healthcare-related needs, including but not limited to insurance inquiries, benefit explanations, and general account information. Within the Member Services Specialist team, this entry role provides an opportunity for growth and development within our organization.
JOB REQUIREMENTS
- Adhere to established service level agreements (SLAs) and quality standards to consistently deliver excellent customer service about insurance benefits, claims, coverage, and other related inquiries.
- Assist members in navigating the healthcare system and understanding their rights and responsibilities.
- Investigate and resolve member complaints, issues, and escalations promptly and satisfactorily.
- Document all customer interactions and issue resolutions accurately and comprehensively in the CRM system.
- Collaborate with internal departments to facilitate issue resolution and ensure a seamless customer experience.
- Explain insurance plans, policies, and procedures to members, ensuring they understand their benefits and coverage clearly.
- Provide guidance on accessing healthcare services, locating in-network providers, and understanding pre-authorization requirements.
- Continuously enhance product knowledge and stay updated on industry trends and changes.
- Identify process improvement opportunities and provide recommendations to enhance the overall member experience.
- Proactively contribute to the development and implementation of customer service best practices.
- Collaborate with team members and management to improve operational efficiency and streamline workflows and customer satisfaction.
- Support USFHP, HIX, and NCHD LOB as needed. Participate in training sessions and professional development activities to enhance knowledge and skills.
PREFERRED JOB REQUIREMENTS
- High School Diploma
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.