Member Support Specialist (Mon-Fri 11am-8pm EST)
full-time•Ponte Vedra Beach
About this role
Description
About Us:
Revive is a dynamic and innovative organization specializing in healthcare delivery and technology. We pride ourselves on delivering exceptional products/services and building strong, long-lasting relationships with our valued clients.
Position Description:
The Member Support Specialist is responsible for answering incoming calls, emails, and chats from the Members and Care Coordinators. Also ensuring that members are navigated successfully through their healthcare and social determinant needs.
Duties:
- Responsible for demonstrating the highest skill levels regarding member service, data entry, problem-solving, and the ability to follow-up and follow through to assist members.
- Responsible for learning all care plans and building a strong knowledge base to provide excellent customer care.
- Help resolve member concerns pertaining to membership benefits, member portal support, and general inquiries.
- Manage and resolve web support tickets and live chats from members.
- Assist with member education and ensure that each member has access to the services needed.
- Serve as a liaison between the member and other departments
- Consistently exhibit behavior and communication skills that demonstrate Revive Health’s commitment to superior member service, including quality, care, and concern with every internal and external customer.
- Use, protect, and disclose members protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Perform outbound calls to members as needed or assigned
- Perform additional duties as assigned
Requirements
- High school diploma or GED required
- Two (2) or more years’ of call center experience
- Previous experience working with health insurance or in a health care environment
- Computer literate with strong data entry skills
- Customer service-oriented
- Excellent verbal and written communication skills
- Strong active listening skills
- Impeccable telephone skills and telephone etiquette
- Ability to maintain composure to a challenging situation
- Excellent problem-solving skills
- Organized, detail-oriented and task-oriented
- Ability to multi-task and be flexible
- Ability to work in a fast-paced, team-oriented environment
- Self-motivated and team player
- Ability to propose new, better solutions
What you'll do
- The Member Support Specialist is responsible for answering incoming calls, emails, and chats from members and care coordinators, ensuring successful navigation through healthcare and social determinant needs. This role involves resolving member concerns, managing web support tickets, and serving as a liaison between members and other departments.
About Revive
Revive BHS is a leading provider of innovative managed services for behavioral healthcare programs. We specialize in a range of solutions, including revenue cycle management, insurance credentialing, compliance, and management consulting. Our team of experts is dedicated to helping behavioral healthcare organizations streamline their operations, improve efficiency, and enhance the quality of care they provide to patients while also maximizing their revenue. With our decades of experience and in-depth industry knowledge, we have a proven track record of delivering exceptional results for our clients. Contact us today to learn how we can help your organization thrive.
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Frequently Asked Questions
What does a Member Support Specialist (Mon-Fri 11am-8pm EST) do at Revive?
As a Member Support Specialist (Mon-Fri 11am-8pm EST) at Revive, you will: the Member Support Specialist is responsible for answering incoming calls, emails, and chats from members and care coordinators, ensuring successful navigation through healthcare and social determinant needs. This role involves resolving member concerns, managing web support tickets, and serving as a liaison between members and other departments..
Is the Member Support Specialist (Mon-Fri 11am-8pm EST) position at Revive remote?
The Member Support Specialist (Mon-Fri 11am-8pm EST) position at Revive is based in Ponte Vedra Beach, Florida, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Member Support Specialist (Mon-Fri 11am-8pm EST) position at Revive?
You can apply for the Member Support Specialist (Mon-Fri 11am-8pm EST) position at Revivedirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.