Member Support Specialist
2 weeks ago
Dean's Professional Services is actively seeking a qualified Member Support Specialist to join a Healthcare Organization in Texas. This role requires commitment, as it involves working throughout the week.
Our mission is to enhance care accessibility and professionalism through value-driven, patient-focused solutions. We are in search of individuals who embody our commitment to excellence and are eager to embrace new challenges.
The Member Support Specialist serves as a crucial advocate for members, acting as a liaison between the Health Plan and Providers to guarantee access to necessary care. This role involves establishing a presence in the community, promoting member education, and identifying and addressing systemic barriers that may hinder members' access to appropriate care.
Key Responsibilities:
- Address and resolve member complaints and formal grievances, identifying potential access barriers and following the grievance procedure.
- Investigate and address access and cultural sensitivity issues raised by Member Services staff, State personnel, providers, advocacy organizations, and recipients.
- Engage with local community organizations to gain insights into the unique healthcare needs of members and update educational materials as necessary.
- Act as the primary contact for member advocacy groups, human services agencies, and State entities.
- Ensure confidentiality in accordance with HIPAA regulations.
Qualifications:
- Must reside in Texas
- High school diploma or equivalent – Required
- Community Health Worker Certification (CHW) – Required
- Minimum of 3 years of customer service experience in a healthcare setting – Required
- Experience in telephone customer service – Required
- Familiarity with Medicare and/or Medicaid – Preferred
- Bilingual in English and Spanish – Preferred
- Proficiency in Microsoft Suite and MS Word – Preferred
- Demonstrated punctuality and reliability in the workplace
Position Details:
- Work 7 Days a Week
- Schedule: Monday to Friday 6:00 am – 7:00 pm / Saturday 7:00 am – 5:00 pm / Sunday 7:30 am – 4:30 pm
- Compensation starting at $17/hr. (based on experience) plus benefits.
- Comprehensive benefits package including healthcare, dental, vision, and 401k program.
- Temp-to-Hire Opportunity
Dean's Professional Services is a nationally recognized staffing solutions firm, dedicated to connecting professionals with opportunities that align with their skills, experience, and personality.
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