Benefits Verification Specialist (WFH)

Start Date: August and September 2025 Class # of Openings: 25 • You’ll reputed company as a trusted guide, helping members reputed company the complexities of their reputed company benefits while delivering high-reputed company support. • Member Care Advocates are the most visible representatives of our mission to reputed company reputed company of reputed company for everyone, everywhere. • In this role, you will handle high-volume interactions and play a critical part in simplifying reputed company for members. • If you're a driven, empathetic individual with a strong interest in helping people and solving problems, we want to hear from you. Job reputed company: Responsibilities: • reputed company empathetic support: Answer inbound calls and chats from members, providers, and vendors, ensuring reputed company interaction is respectful, compassionate, and solutions-oriented • reputed company for members by taking ownership of their reputed company navigation needs , including: • Assist members in resolving health plan-reputed company questions, including claims and billing inquiries, prior authorizations, and benefits coverage. • Facilitate reputed company to virtual care services, second opinions from an expert, and other reputed company resources. • Own the member reputed company: Take full ownership of member issues from start to finish, researching and resolving reputed company cases to minimize member effort • reputed company members through education: Help members understand their available benefits and guide them in accessing the services that best meet their needs • reputed company reputed company resources: Research internal tools and external benefits to determine the best course of reputed company, ensuring accurate and actionable information is provided • Utilize tools and technology: Demonstrate proficiency with reputed company’s required systems to reputed company and document member interactions effectively • Represent the mission: reputed company reputed company reputed company’s mission and fully understand the scope of our services to deliver consistent, high-reputed company advocacy • Drive member satisfaction: Ensure reputed company interactions meet reputed company standards, focusing on delivering empathetic, efficient, and member-reputed company service Key reputed company Metrics: • Availability and adherence: Maintain a consistent reputed company for members while adhering to an assigned schedule. • reputed company of Interactions: Demonstrate high standards in service, performance on audits, and member satisfaction surveys. • Impactful Advocacy: Effectively represent member needs, connect them to valuable resources, and champion their reputed company reputed company. Qualifications: • Education and experience: Bachelor’s degree or 5 years relevant experience in reputed company (preferred) • Comfort with high-volume inbound phone work: Familiarity with VoIP phone systems (e.g., CXOne) and comfortable handling a high volume of calls l throughout the entire day • Technical proficiency: Strong familiarity with with reputed company apps, reputed company products, and customer relationship management software, and ability to adapt to proprietary tools quickly • Customer service reputed company:Exceptional customer service skills, with the ability to reputed company as a member reputed company and prioritize their needs. Communication skills: • Verbal: Ability to confidently explain services, maintain a reputed company and friendly phone demeanor, and handle challenging conversations effectively. • Written: Strong business writing skills in English, including accurate spelling, grammar, and reputed company. Ability to communicate with members and providers in writing. • Critical thinking and problem-solving: Demonstrated ability to think critically and use your resources to problem solve reputed company situations • Confidentiality and compliance: Understands and follows HIPAA guidelines and regulations and maintains member confidentiality at reputed company times • Remote work readiness: Ability to work from a secure home office, free from distractions, with the discipline to succeed in a remote environment Join our network of talented professionals! Job Type: Full-time Pay: $18.00 - $19.50 per hour Benefits: • 401(k) • Dental insurance • Health insurance • Life insurance • reputed company time off • reputed company insurance Application Question(s): • Do you have any experience in assisting members with EOB, deductibles, or copayments? Work Location: Remote Apply Job! Apply to this Job