You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Team Representative to join the Member Experience team. The primary focus is to alleviate administrative burdens from members by handling customer service inquiries and answering questions regarding benefits, eligibility, and more.
Key Responsibilities
Assist members by answering customer service inquiries related to insurance benefits, eligibility, and claims. Provide detailed explanations on deductibles, coinsurance, and out-of-pocket amounts. Effectively address provider calls, focusing on claims and benefit discussions, including cost-share estimations. Qualifications
Approximately 3 years of insurance customer service experience. High-level understanding of claims and claims follow-up. Experience with Explanation of Benefits (EOB) and eligibility. Strong phone and written communication skills. Preference for candidates with commercial health insurance experience. Skills
Strong communication skills, both phone and written. Requirement to provide their own second monitor, mouse, headset, and desk. Secure, private workspace setup to protect personal health information. Secure Wi-Fi with a backup internet solution, such as a mobile hotspot. Additional Requirements
New tech/environment requirements including providing own equipment and internet solutions. Benefits
Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)). 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1). Short Term Disability Insurance. Term Life Insurance Plan.
Required Employment / Compliance Language
Medix is an equal opportunity employer and does not discriminate against any employee or applicant on the basis of age, race, religion, color, disability, sex, sexual orientation, or national origin, in accordance with federal, state, and local law.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
Job Summary
Our client is seeking a dedicated Team Representative to join the Member Experience team. The primary focus is to alleviate administrative burdens from members by handling customer service inquiries and answering questions regarding benefits, eligibility, and more.
Key Responsibilities
Assist members by answering customer service inquiries related to insurance benefits, eligibility, and claims. Provide detailed explanations on deductibles, coinsurance, and out-of-pocket amounts. Effectively address provider calls, focusing on claims and benefit discussions, including cost-share estimations. Qualifications
Approximately 3 years of insurance customer service experience. High-level understanding of claims and claims follow-up. Experience with Explanation of Benefits (EOB) and eligibility. Strong phone and written communication skills. Preference for candidates with commercial health insurance experience. Skills
Strong communication skills, both phone and written. Requirement to provide their own second monitor, mouse, headset, and desk. Secure, private workspace setup to protect personal health information. Secure Wi-Fi with a backup internet solution, such as a mobile hotspot. Additional Requirements
New tech/environment requirements including providing own equipment and internet solutions. Benefits
Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)). 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1). Short Term Disability Insurance. Term Life Insurance Plan.
Required Employment / Compliance Language
Medix is an equal opportunity employer and does not discriminate against any employee or applicant on the basis of age, race, religion, color, disability, sex, sexual orientation, or national origin, in accordance with federal, state, and local law.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients