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Healthcare Liaison Specialist

3 weeks ago

Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time

Job Overview: We are seeking a skilled Healthcare Liaison Specialist to join our team at The Health Plan of West Virginia Inc. The successful candidate will work closely with clients, members, and providers to resolve issues related to claims, eligibility, and benefits.

About the Job:

This role involves providing exceptional customer service, resolving issues, and communicating with internal teams to process or adjust claims as needed. The ideal candidate will have excellent communication skills, be detail-oriented, and able to prioritize tasks effectively.

Key Responsibilities:

  • Communicate with clients, members, and providers to resolve issues related to claims, eligibility, and benefits
  • Work closely with operations team to process or adjust claims as needed
  • Record and track all information clearly and accurately

Requirements:

  • High School graduate or equivalent required; Bachelor's degree preferred
  • Previous experience in working with health insurance
  • Excellent communication and problem-solving skills

Estimated Salary: $52,000 - $72,000 per year, based on experience