Benefits Navigation Specialist

5 days ago

Tulsa, United States Medefy Health LLC Part time
Job DescriptionJob Description

Medefy is hiring a part-time Benefits Navigation Specialists.

The work shift is M-F, 7PM-11 PM. Remote enabled.

Training for the role is M-F, 8AM - 5PM for at least 4 weeks.

Pay for Training: $15 p/hr | Pay once fully trained: $21 p/hr.

Job Summary:

Join the mission-driven team at Medefy Health as a Benefits Navigation Specialist (BNS). In this vital role, you'll help simplify and navigate the complexities of healthcare benefits for our members. You'll provide top-notch support via email, phone, and chat, ensuring that members understand and make the most of their benefits. Your primary responsibilities include guiding members to low-cost, high-quality doctors and facilities, addressing benefits/claims/pharmacy/healthcare questions, and delivering a seamless, stress-free healthcare experience.

About Medefy Health:

Medefy Health (www.Medefy.com) is a pioneering healthcare benefits navigation SaaS company based in Tulsa, OK. Recognized as Oklahoma’s #1 fastest-growing company, Medefy has also been ranked by Inc. Magazine as the 37th fastest-growing tech company and the 288th fastest-growing company overall in the USA.

Our mission is to simplify the complex and expensive healthcare system for employers and their employees, saving time and money while eliminating stress. By breaking down barriers between healthcare and those who need it, we strive to make healthcare more accessible and navigable. Join us and be a part of our mission to revolutionize healthcare navigation

Job Duties & Responsibilities:
  • Member Support: Provide friendly, timely (within 2 minutes), and HIPAA-compliant responses to member inquiries via email, phone, or chat.
  • Benefit Guidance: Educate members about their benefits, health insurance coverage, and other related topics, ensuring they fully understand and can effectively use their plans.
  • Claims Assistance: Assist members with benefits claim issues and plan changes, acting as a direct point of contact for both members and providers.
  • Navigation Support: Help members find suitable doctors, clinics, and other healthcare facilities, and support them in scheduling appointments and closing gaps in care.
  • Communication: Address inquiries from members, HR departments, pharmacies, and providers about mail order services, benefit design, formulary coverage, medication costs, prior authorization criteria, and claims adjudication.
  • Quality Assurance: Contribute to meeting operational and productivity standards by conducting quality reviews of member interactions and documentation to identify improvement opportunities.
  • Platform Proficiency: Stay updated with Medefy software platform tools, client health plans, and relevant healthcare information.
  • Team Collaboration: Work closely with other Medefy departments to ensure members have a successful healthcare journey.
  • Follow-Up: Ensure members had a pleasant encounter and successful outcome by following up on their interactions.
  • Professional Service: Deliver above-and-beyond service and professionalism in every member interaction.
  • Referral Coordination: Create referrals for the Referral Coordinators to process.
  • Other Duties: Perform other related duties as assigned.
Qualifications:
  • Preferred Education: Associate's or bachelor's degree.
  • Experience: 1-2 years in healthcare, benefits administration, or related fields.
  • Skills: Detail-oriented, adaptable, critical thinker with a genuine desire to enhance patients' healthcare experiences. Familiarity with benefits designs.
  • Communication: Effective verbal and written communication skills in English, with proficiency in real-time text-based communication.
  • Technical Proficiency: Proficiency with computers, Microsoft Office, apps, and instant messaging.
  • Typing Speed: At least 50 words per minute.
  • Knowledge: General knowledge of the healthcare ecosystem and trends.
  • Personality: Friendly and helpful, with a relentlessly inquisitive nature and a professional demeanor.
  • Availability: Willingness to cover night and weekend shifts if required.
Preferred Qualifications:
  • Education: Bachelor’s degree in human resources or related field.
  • Certification: SHRM Certified Professional (SHRM-CP) or HRCI Professional in Human Resources (PHR).
  • Experience: 2+ years in health insurance or benefits fields (e.g., health brokerage, insurance, benefits advisory).
  • Language Skills: Bilingual - verbal and written proficiency in Spanish.
  • Knowledge: In-depth understanding of health insurance processes, claims processing, and healthcare referral management practices.
What We Offer:
  • Impactful Work: Change lives every day by helping people navigate the healthcare system at an affordable price.
  • Culture: Work in a fun, easygoing, but fast-paced environment with a dedicated team.
  • Growth Opportunities: Competitive pay and benefits packages with ample career growth opportunities.
  • Innovation: An open-minded approach to new methodologies to accomplish our mission.

Ready to Join Us? Apply Now

Medefy - Healthcare Benefits Navigation

The easiest way for employees to access their health benefits, navigate to care, make smart decisions, and save money



M-F 7pm-11pm part time
Training is 4 or more weeks 8am-5pm M-F

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