Description
About Us:
Revive is a dynamic and innovative organization specializing in healthcare delivery and technology. We pride ourselves on delivering exceptional products/services and building strong, long-lasting relationships with our valued clients.
Position Description
The Member Support Specialist is responsible for answering incoming calls, emails, and chats from the Members and Care Coordinators. Also ensuring that members are navigated successfully through their healthcare and social determinant needs.
Duties
Responsible for demonstrating the highest skill levels regarding member service, data entry, problem-solving, and the ability to follow-up and follow through to assist members.
Responsible for learning all care plans and building a strong knowledge base to provide excellent customer care.
Help resolve member concerns pertaining to membership benefits, member portal support, and general inquiries.
Manage and resolve web support tickets and live chats from members.
Assist with member education and ensure that each member has access to the services needed.
Serve as a liaison between the member and other departments
Consistently exhibit behavior and communication skills that demonstrate Revive Health’s commitment to superior member service, including quality, care, and concern with every internal and external customer.
Use, protect, and disclose members protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Perform outbound calls to members as needed or assigned
Perform additional duties as assigned
Requirements
High school diploma or GED required
Two (2) or more years’ of call center experience
Previous experience working with health insurance or in a health care environment
Computer literate with strong data entry skills
Customer service-oriented
Excellent verbal and written communication skills
Strong active listening skills
Impeccable telephone skills and telephone etiquette
Ability to maintain composure to a challenging situation
Excellent problem-solving skills
Organized, detail-oriented and task-oriented
Ability to multi-task and be flexible
Ability to work in a fast-paced, team-oriented environment
Self-motivated and team player
Ability to propose new, better solutions
