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Insurance Customer Support Specialist

2 months ago

Virginia Beach, Virginia, United States Medix Full time

Position Overview:

Medix is seeking a dedicated Insurance Customer Support Specialist to join our team within a prominent healthcare organization. This role is essential in ensuring that our members receive exceptional service and support regarding their insurance needs.

Key Responsibilities:

  • Member Assistance: Address inquiries from members through various communication channels, ensuring they receive precise and prompt information regarding their insurance benefits and services.
  • Problem Resolution: Investigate and resolve concerns related to billing, coverage, and claims, striving to maintain high levels of member satisfaction.
  • Benefit Clarification: Provide clear explanations of insurance benefits, policy details, and procedures to assist members in understanding their coverage.
  • Claims Support: Aid members in navigating the claims process, including tracking claim statuses and explaining decisions.
  • Record Keeping: Maintain thorough documentation of member interactions, ensuring compliance with company policies.
  • Regulatory Compliance: Stay updated on industry regulations and adhere to company policies to ensure compliance.
  • Interdepartmental Collaboration: Work alongside other teams to address complex member issues and enhance service delivery.
  • Process Improvement: Identify and suggest enhancements to current processes to improve the overall customer service experience.

Company Overview:
Medix is a specialized staffing agency focused on the healthcare sector, collaborating with leading health systems. We provide comprehensive benefits, including health, vision, and dental insurance, along with a structured sick leave policy and a weekly pay schedule.