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Jobs at Doctors HealthCare Plans, Inc. (Now Hiring) — 4 open

Doctors HealthCare Plans, Inc. logoDoctors HealthCare Plans, Inc.

Member Services Representative (Healthcare)

Coral Gables, Florida, United States · On-site

Mid level

Onsite | Full-Time | Consistent Schedule Make a Difference—Every Day If you enjoy helping people, solving problems, and being part of a supportive team, this role is for you. As a Member Services Representative, you’ll h…

Skills: English Fluency, Spanish Fluency, Customer Service, Call Center Operations, Healthcare Benefits Administration

Doctors HealthCare Plans, Inc. logoDoctors HealthCare Plans, Inc.

Fraud, Waste & Abuse (FWA) Coordinator

Coral Gables, Florida, United States · On-site

Mid level

Provide operational and administrative support that enables FWA leadership, investigators and analysts focus on fraud investigations, case management and regulatory compliance. The ideal candidate is polished, highly org…

Skills: Case Management, Regulatory Compliance, Fraud Investigation, Medical Records Coordination, Reporting & Analytics

Doctors HealthCare Plans, Inc. logoDoctors HealthCare Plans, Inc.

EDI Encounter Specialist

Coral Gables, Florida, United States · On-site

Mid level

The EDI Encounter Specialist is responsible for the administration, monitoring, validation, and support of healthcare encounter data submitted to state (AHCA) and CMS, as well as those received from clearinghouses and bu…

Skills: EDI Encounter Management, HIPAA X12 Standards, SQL, Data Validation, Healthcare Claims Processing

Doctors HealthCare Plans, Inc. logoDoctors HealthCare Plans, Inc.

Case Manager RN

Coral Gables, Florida, United States · On-site

Mid level

Position Purpose: Nurse Case Manager who is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with medical …

Skills: Case Management, Care Coordination, Patient Assessment, Medication Reconciliation, Clinical Guidelines

Doctors HealthCare Plans, Inc. logo

Member Services Representative (Healthcare)

Doctors HealthCare Plans, Inc.

Coral Gables, Florida, United States • On-site

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Mid level

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  • Full-time
  • high school
  • Medical, Dental, Vision, Paid Time Off, Holidays, Training And Growth Opportunities
  • Posted 7d ago
  • Apply by Oct 18
  • ~40 hrs/week

Responsibilities

The representative handles inbound calls and emails to assist members with healthcare benefits, eligibility, and claims. They also perform outbound welcome calls and help members schedule appointments and access care.

Requirements

Fluency in both English and Spanish is required, along with a high school diploma or equivalent. Candidates should be comfortable using office software and possess strong communication and organizational skills.

Full job description

Onsite | Full-Time | Consistent Schedule
Make a Difference—Every Day


If you enjoy helping people, solving problems, and being part of a supportive team, this role is for you. As a Member Services Representative, you’ll help members understand their healthcare benefits, access care, and feel confident knowing someone is there to support them.


What You’ll Do
  • Answer inbound calls and emails from members, caregivers, and providers
  • Help with questions about benefits, eligibility, claims, and enrollment
  • Resolve most questions on the first contact; work with internal teams when needed
  • Make outbound calls to welcome new members and complete enrollment verification
  • Assist members with scheduling appointments and accessing care
  • Document interactions clearly and accurately

Qualifications:

  • Fluent in English and Spanish (required)
  • High school diploma, GED, or equivalent work experience preferred
  • Customer service experience (healthcare or call center experience is a plus, not required)
  • Comfortable using computers, email, and basic office software
  • Strong communication skills and a positive, patient approach
  • Ability to stay organized and handle multiple tasks
  • Fluent in English and Spanish (required)
This Role Is Great If You:
  • Enjoy helping people and making a real impact
  • Like a steady, structured workday with variety
  • Want a stable, full-time, onsite position
  • Are interested in growing your career in healthcare
What We Offer
  • Competitive pay
  • Medical, dental, and vision benefits
  • Paid time off and holidays
  • Supportive team environment
  • Training and growth opportunities

Responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.   
No Third Party Agencies or Submissions Will Be Accepted.   
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP   
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

Related keywords

HealthcareMember ServicesCustomer ServiceBilingualClaimsEnrollmentEligibilityCall CenterPatient SupportHealthcare Benefits

About Doctors HealthCare Plans, Inc.

LinkedInVisit site

Your Health, Our Commitment.

Industry
Hospitals and Health Care
Company size
51-200 employees
Founded
2017
Headquarters
Coral Gables, Florida
LinkedIn followers
3,111

Welcome to Doctors HealthCare Plans! Doctors HealthCare Plans, Inc., is a Florida-based, locally owned health plan providing coverage in Miami-Dade and Broward Counties and specializing in Medicare. We have an extensive list of participating providers, hospitals and pharmacies. Whether you are a Doctors HealthCare Plans member or provider, all inquiries and requests are addressed by a friendly and local Team.

Offices: 2020 PONCE DE LEON BLVD, Coral Gables, Florida 33134, US

HospitalHealth CareMedical DeviceWellnessMedical
View all jobs at Doctors HealthCare Plans, Inc.

About Doctors HealthCare Plans, Inc.

LinkedInVisit site

Your Health, Our Commitment.

Industry
Hospitals and Health Care
Company size
51-200 employees
Founded
2017
Headquarters
Coral Gables, Florida
LinkedIn followers
3,111

Welcome to Doctors HealthCare Plans! Doctors HealthCare Plans, Inc., is a Florida-based, locally owned health plan providing coverage in Miami-Dade and Broward Counties and specializing in Medicare. We have an extensive list of participating providers, hospitals and pharmacies. Whether you are a Doctors HealthCare Plans member or provider, all inquiries and requests are addressed by a friendly and local Team.

Offices: 2020 PONCE DE LEON BLVD, Coral Gables, Florida 33134, US

HospitalHealth CareMedical DeviceWellnessMedical
View all jobs at Doctors HealthCare Plans, Inc.

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