Healthcare Member Support Specialist

2 weeks ago


Brookfield, Wisconsin, United States Network Health Full time

At Network Health, we are dedicated to fostering vibrant and healthy communities across Wisconsin. Our mission influences every decision we make, including the selection of individuals who will contribute to our expanding team.

As a Healthcare Member Support Specialist, you will play a crucial role in our Medicare division by assisting with benefit explanations, claims processing, authorizations, and addressing various member inquiries within a collaborative and innovative atmosphere. This position involves guiding our members through their healthcare-related questions via customer interactions, ensuring they receive the support they need.

Our Healthcare Member Support Specialist embodies our commitment to 'Service Excellence' by helping members navigate their healthcare journeys. This includes clarifying benefits, resolving claim issues, locating healthcare providers, and serving as a resource for healthcare support. At Network Health, we aim to enhance the healthcare experience, ensuring that members receive comprehensive assistance in a single interaction.

Key Responsibilities

  • Assist Network Health members by responding to inquiries and proactively addressing their questions and concerns.
  • Aim for first-contact resolution, striving to resolve member issues during the initial interaction.
  • Utilize dual monitors and computer-based resources to provide clear answers and simplify next steps for members.
  • Collaborate with internal departments or external resources as needed to resolve member issues.
  • Engage in continuous learning to stay updated on our plans, systems, and industry trends.
  • Ensure the protection of our members' personal health information.

Qualifications

  • High school diploma or equivalent required.
  • Strong passion for assisting others.
  • Prior experience in the insurance sector is advantageous.
  • Familiarity with medical terminology is beneficial.
  • Exceptional communication skills, with the ability to articulate complex topics clearly.
  • Friendly and approachable demeanor over the phone, ensuring members feel valued.
  • Proficiency in navigating multiple computer systems and utilizing a multi-screen setup to find solutions.

We are committed to delivering outstanding service in straightforward language that our members can easily understand. The initial training program lasts 6-8 weeks, with a standard work schedule of Monday to Friday from 8:00 AM to 4:30 PM. Post-training, you may choose a work schedule of either 8:00 AM to 4:30 PM or 8:30 AM to 5:00 PM.

We take pride in being an Equal Opportunity Employer, dedicated to creating an environment that attracts, recruits, engages, and retains a diverse workforce.



  • Brookfield, Wisconsin, United States ProHealth Care Full time

    Clinical Support Associate - ProHealth CareBecome a vital member of a prominent healthcare organization committed to enhancing community wellness. Join a dedicated team focused on delivering exceptional patient services.Key Responsibilities:Deliver direct patient assistance under the guidance of healthcare professionalsPrepare examination areas and support...


  • Brookfield, Wisconsin, United States Ascension Full time

    Position OverviewDepartment:Intermediate Care UnitWork Schedule:Full-time, 36 hours per week; Night shifts from 7 PM to 7:30 AM with a rotation every third weekend and holidayOrganization:Ascension HealthLocation:Brookfield, WIBenefits Offered- Paid Time Off (PTO)- Multiple health insurance options and wellness programs- Retirement plans with employer...

  • ABA Therapist

    6 days ago


    Brookfield, Wisconsin, United States Academic and Behavioral Support, LLC Full time

    Job OpportunityWe are seeking a highly skilled and compassionate Behavioral Support Specialist to join our team at Academic and Behavioral Support, LLC.About the RoleProvide intensive behavioral intervention services to clients with Autism Spectrum Disorder and other developmental delays.Implement treatment plans as designed and trained by the supervising...


  • Brookfield, Wisconsin, United States Old Republic Risk Management Inc Full time

    Position at Old Republic Risk Management Old Republic Risk Management (ORRM) is currently on the lookout for a Claims Support Specialist to become a vital part of our Claims Services Team. ORRM specializes in providing primary casualty insurance solutions tailored for corporate and group clients with intricate risk profiles. As a trailblazer in the...


  • Brookfield, Wisconsin, United States TDS Telecommunications Full time

    Position Overview:As a Retail Customer Support Specialist, you will play a crucial role in delivering exceptional service to our customers. Your primary responsibility will be to assist customers with their inquiries and provide solutions to enhance their experience with our services.Work Schedule:This is a full-time position requiring 40 hours per week. You...


  • Brookfield, Wisconsin, United States Network Health Full time

    At Network Health, our commitment to improving the health and wellness of our community is at the forefront of everything we do. We are currently looking for a dedicated Operations Support Specialist to join our dynamic team. This full-time position will play a crucial role in providing essential support to our Operations department, ensuring smooth daily...


  • Brookfield, Wisconsin, United States Over The Moon Full time

    Job OverviewWe are thrilled to announce a fantastic opportunity for a dedicated Client Support Specialist to become a vital part of our team at Over The Moon. If you possess a passion for assisting others, excellent communication abilities, and a knack for resolving issues, this role is tailored for you.As a Client Support Specialist, your primary...


  • Brookfield, Wisconsin, United States Milliman Full time

    About the OpportunityMilliman, a leading global consulting and actuarial firm, is seeking an IT Support Specialist to join our Property and Casualty practice in Brookfield, WI. As a key member of our IT team, you will be responsible for providing technical support and assistance to our employees, ensuring seamless operation of our technology...


  • Brookfield, Wisconsin, United States AA2IT Full time

    Position OverviewWe are seeking a Technical Support Specialist to join our team at AA2IT. This role involves providing comprehensive desktop support services to our clients.Essential QualificationsMinimum of 3 years of experience in Technical SupportHigh School Diploma or equivalent; Bachelor's degree is a plusCompTIA A+ Certification is...


  • Brookfield, Wisconsin, United States B and j insurance agency inc Full time

    Job OverviewWhy consider this opportunity?Welcoming Work EnvironmentAttractive Compensation StructureEncouraging Small Business AtmosphereEngaged LeadershipOpportunities for Professional DevelopmentInsurance Customer Support Specialist - We are seeking a dedicated Insurance Customer Support Specialist to become part of our growing Insurance Agency. With a...


  • Brookfield, Wisconsin, United States K9 Resorts of Brookfield Full time

    Position OverviewWe are seeking a committed Pet Care Customer Support Specialist to become a vital member of our team at K9 Resorts of Brookfield. In this role, you will be instrumental in delivering exceptional service to our clients and their beloved pets. Your duties will encompass welcoming customers, overseeing bookings, attending to pet needs, and...


  • Brookfield, Wisconsin, United States Extension, Inc Full time

    Position OverviewExtension, Inc. is currently seeking a Client Support Specialist for a Direct Hire opportunity within our organization.Key ResponsibilitiesIn this role, you will be tasked with handling a significant volume of customer inquiries, processing purchase orders through our ERP system, identifying discrepancies in orders, and conducting research...


  • Brookfield, Wisconsin, United States Ascension Full time

    About the RoleWe are seeking a skilled and dedicated Healthcare Support Specialist to join our team at Ascension Wisconsin. As a key member of our Surgical Services team, you will play a vital role in providing exceptional patient care and support to our surgeons and medical staff.Key ResponsibilitiesProvide direct assistance to surgeons before, during, and...


  • Brookfield, Wisconsin, United States ProHealth Care Full time

    Join Our Team: Patient Care Support Specialist (MA/LPN/EMT) - ProHealth Care Occupational Health - 1.0 FTE Start your journey with ProHealth Care, where we foster a culture that is warm, inviting, and dynamic. We provide a comprehensive benefits package and resources to support your educational pursuits. After all, you deserve to be treated well. Explore...


  • Brookfield, Wisconsin, United States ITI Systems Full time

    Position Overview:ITI Systems, a prominent national provider of Audiovisual Solutions, is in search of a Senior Audiovisual Support Specialist who excels in customer engagement.This role involves addressing all audiovisual requirements and user technologies for a significant enterprise client.Key Responsibilities:Maintain and support A/V equipment, including...


  • Brookfield, Wisconsin, United States ITI Systems Full time

    Position Overview:ITI Systems, a prominent national provider of Audiovisual Integration Services, is in search of a Senior Audiovisual Support Specialist. This role demands a professional with exceptional interpersonal skills to cater to our enterprise client's audiovisual requirements.The selected candidate will be responsible for addressing all audiovisual...


  • Brookfield, Wisconsin, United States U.S. Bancorp Full time

    Position OverviewWe are looking for a dedicated Customer Service Support Associate to join our dynamic Servicing Department. In this role, you will play a crucial part in ensuring customer satisfaction through effective communication and problem-solving.Key ResponsibilitiesManage incoming calls and provide exceptional support to our clients.Address and...


  • Brookfield, Wisconsin, United States Massage Envy Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Guest Success Specialist to join our team at Massage Envy Bluemound. As a Guest Success Specialist, you will be responsible for providing exceptional customer service, promoting the value of Total Body Care, and supporting clinic flow.Key ResponsibilitiesProvide outstanding customer service...


  • Brookfield, Wisconsin, United States Over the Moon Full time

    Join Our Team as a Client Relations SpecialistAt Over The Moon, we are seeking a dedicated Client Relations Specialist to enhance our customer engagement efforts. In this role, you will be the first point of contact for our clients, ensuring a seamless and positive experience during every interaction.We pride ourselves on fostering a supportive workplace...


  • Brookfield, Wisconsin, United States Host Healthcare Full time

    Job Summary:Host Healthcare is seeking an experienced Respiratory Therapist to join our team as a Travel Allied Healthcare Professional. This exciting opportunity will allow you to work in a dynamic and fast-paced environment, providing high-quality patient care and contributing to the success of our healthcare organization.About the Job:Shift: 12-hour...