NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.
Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.
Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.
We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Job summary:
We’re looking for extremely motivated, high-energy, people to join our inbound/outbound Customer Service Team. The primary role you will play involves answering inbound calls from licensed agents, assisting with basic benefit questions in addition to questions regarding insurance verification/formulary & provider searches. Also, you will be responsible for reconnecting prospective members to their assigned agents when calling back in to complete the enrollment process.
Job Responsibilities:
- Handle inbound calls from licensed agents to provide.
- Eligibility information by using the CMS (Marx) site.
- Medicaid Eligibility information by using the state site provided by our client.
- Formulary coverage information regarding prescription benefits
- Basic benefit information
- Provider network status
- Enter notes in client’s profile on company’s Customer Relationship Management System (CRM) in an accurate and compliant manner.
- Warm Transfer prospective members to designated tele sales team(s)
- Follow all Federal, State, Cirrus and Clients policies and procedures.
Skills and Qualifications:
- Customer Focus, technology savvy, Customer Service, Data Entry Skills, Listening, Phone Skills, Verbal Communication, Building Relationships, People Skills, Interpersonal Savvy, Problem Solving, Multi-tasking.
Minimum Requirements:
- High school diploma or general education degree (GED)
- Must have some call center experience
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
NationsBenefits is an equal opportunity employer.