Member Services Specialist jobs in United States
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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.

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Hiring Manager
Christine Davis
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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

Healthcare knowledgeHigh volume call experienceCustomer service excellenceTechnical skill-buildingDocumentation skills

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!!

Company

Hornet Staffing, Inc, a GEE Group company

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Hornet’s delivery model is designed to support those clients utilizing an MSP or VMS.

Funding

Current Stage
Early Stage
Total Funding
unknown
2025-01-03Acquired

Leadership Team

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Laurel Lynn Bruce
Chief Financial Officer
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Company data provided by crunchbase