Support Services Specialist
New
J
JobgetherHealthcare support
Workplace type: Remote; based in the United States., Monday to Friday, 9:00 AM to 6:00 PM EST.Full-Time
SalaryCompetitive annual salary ranging from $48,000 to $55,000, depending on experience, location, and desired equity.
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Job Details
- Languages
- Bilingual proficiency, particularly in Spanish, is a plus.
- Required Skills
- HIPAACustomer support
Requirements
- Have previous experience in customer support, member services, provider services, healthcare administration, or a related field.
- Communicate clearly and professionally when explaining complex information.
- Demonstrate empathy, active listening, and a commitment to high-quality service.
- Maintain attention to detail and accuracy when handling sensitive information and resolving inquiries.
- Use problem-solving and critical-thinking skills to investigate issues and identify solutions.
- Prioritize multiple responsibilities and manage workloads efficiently in a fast-paced, detail-oriented environment.
- Demonstrate dependability, accountability, integrity, and professionalism.
- Work effectively with cross-functional teams.
- Familiarity with HIPAA regulations, CMS guidelines, or managed care practices is an advantage.
- Experience with Reference-Based Pricing (RBP), cash payment models, or employer-sponsored Direct Primary Care is a strong asset.
- Bilingual proficiency, particularly in Spanish, is a plus.
Responsibilities
- Handle inbound calls from healthcare members and providers.
- Provide guidance on benefits, eligibility, claims status, authorizations, and network participation.
- Investigate complex inquiries and coordinate with internal teams and relevant stakeholders to resolve them.
- Educate members and providers on plan policies, digital tools, resources, and support processes.
- Identify issues requiring additional assistance and escalate them appropriately.
- Protect sensitive information in accordance with HIPAA regulations and applicable privacy requirements.
- Meet expectations for call quality, response times, accuracy, and customer satisfaction.
- Contribute to the improvement and development of support operations.
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