Now Hiring for a remote Member Experience Rep for a healthcare insurance company in Wisconsin!! This is fully remote, but must reside in Wisconsin to be qualified based on company policies!!
Description
The Member Experience Representative’s primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations.
Proficient in one line of business, either Medicare or Group/Marketplace, translating health care related jargon into effective written or verbal communication for the end user to comprehend.
Document details of the interaction within the database, including any additional action steps taken as follow up.
Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision
Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies
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