This role is part of a specialized "white glove" member concierge team for a start-up health plan, focused on providing high-touch service for members with renal disease through Medicare-based plans. The team will handle personalized support for 10-20 members, specifically in the C-SNP (Chronic Special Needs Plan) space.
Responsibilities
* Inbound Call Handling: Respond to 18-30 inbound calls per day, focusing on:
* Open enrollment inquiries (e.g., coverage, benefits updates, plan status).
* Member/provider calls regarding applications, eligibility, claims, and benefits.
* Assisting with claims/billing questions and addressing patient complaints.
* Providing information on where members can receive care from providers.
* Offering comprehensive, personalized support as a "one-stop shop" for member services.
Outbound Calls
* Return voicemails from after-hours calls.
* Verify member conditions with providers.
* Follow up on enrollment and application statuses.
Qualifications
* 2+ years of call center experience
* Medicare Advantage knowledge
* Bilingual in Spanish (required)
* Ability to work Saturdays, as needed
* Computer proficiency required
* High School Diploma or GED
Pay Rate
* $16 to $20 an hour
Schedule
* Monday to Friday, flexible to work between 8:00AM - 8:00PM AZ time as needed.
* Occasional Saturday shifts may be required.
* Candidates who cannot meet all hours should still apply.
Training
* System training via recordings and hands-on practice.
* Direct support from an offshore team and a dedicated trainer.
* Includes practice calls, call listening, and nesting for real-time feedback.
Medix is acting as an Employment Agency in relation to this vacancy.