Customer Service Specialist

Overview

The Healthcare Support Specialist is responsible for providing compassionate and comprehensive support to members within the Medicare line of business. The role serves as the primary point of contact, assisting members in navigating healthcare services, scheduling appointments, arranging transportation, resolving benefit inquiries, and ensuring compliance with healthcare policies and procedures.

Responsibilities

• Manage inbound and outbound calls, assisting members with inquiries, benefit plan details, and issue resolution.
• Guide members through the healthcare process, including scheduling appointments, referrals, and transportation coordination.
• Provide accurate information about health plan policies, coverage, and procedures.
• Build strong rapport with members through active listening, empathy, and clear communication.
• Document all interactions and maintain accurate records in compliance with compa...