Hornet Staffing, Inc, a GEE Group company · 2 weeks ago
Member Services Specialist
Hornet Staffing, Inc, a GEE Group company, is a national healthcare organization seeking a Member Services Specialist. This role involves providing high-quality, resolution-focused support to members and providers, while navigating healthcare offerings and assisting with various inquiries.
Responsibilities
The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business
As the initial point of contact, this role extends beyond basic call handling—Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution
Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries
This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows
Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio)
All interactions must be documented with a clear and concise recap of the call's purpose
Qualification
Required
Knowledge of Healthcare plans
High volume inbound call experience
Must pass National and Federal background check
Education verification - HS Diploma/GED minimum
Benefits
Excellent benefits!!