Healthcare Advocate

2 days ago


Columbus, Ohio, United States SIHO Insurance Services, Inc. Full time

SIHO Insurance Services, Inc. is seeking a dedicated and compassionate individual to join our team as a Member Services Representative.

Job Description

This role involves providing exceptional customer service to SIHO's members and their providers, ensuring a seamless experience throughout their interactions with our company.

  • Main Responsibilities:
  1. Assist members with navigating their healthcare needs by explaining benefits, resolving claim concerns, finding nearby doctors or acting as their advocate.

  2. Comply with regulatory requirements while addressing customer inquiries, which may include complex benefit questions.

  3. Record details of inquiries, comments, complaints, and transactions in a timely and accurate manner.

  4. Elevate unresolved and pending customer grievances to ensure prompt resolution.

  5. Support colleagues as business needs require to guarantee the organization meets the needs of our members and providers.

  6. Strive for first call resolution while demonstrating SIHO's dedication to proactively address member questions and concerns.

  7. Collaborate with partners in other departments or with doctors' offices to resolve customer issues.

  8. Provide assistance to teammates as needed to ensure we meet the expectations of our customers.

  9. Perform additional duties deemed necessary to achieve departmental and company-wide objectives.

Traits We're Looking For:

  • Trustworthiness
  • Empathy
  • Proactivity
  • Compassion
  • Good Listening Skills
  • Problem-Solving Ability
  • Effective Communication
  • Patience
  • Personability & Collaboration
Requirements

We're looking for an individual who possesses:

  • A passion for delivering exceptional customer service
  • Excellent communication (oral and written) and strong listening skills
  • Experience in the healthcare industry (preferable but not mandatory)
  • Basic knowledge and understanding of health insurance concepts
  • The ability to maintain a professional appearance and presence
  • A commitment to maintaining confidentiality in accordance with HIPAA guidelines

Compensation: This role offers a competitive salary of approximately $45,000 - $55,000 per annum, depending on location and experience.

Education: A High School Diploma and 2 years of customer service experience are required. Proficiency in Microsoft Office or similar software is also essential.



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