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Medefy Health · 1 month ago

Benefits Navigation Specialist

Tulsa, OK

Full-time

Onsite

Entry Level

1+ years exp

Medefy Health is a leading SaaS benefits navigation company dedicated to simplifying employee access to their benefits. As a Benefits Navigation Specialist, you will assist users with their benefit plans, answer inquiries, and guide them in their healthcare journey through live chat support.

Employee BenefitsHealth CareSoftware

Responsibilities

Monitor and respond to incoming user chats in a friendly, timely (2 minutes or less), and HIPAA‐compliant manner via computer-based applications

Answer users’ benefits questions, health insurance questions, coverage questions, and other related inquiries via chat feature on the Medefy app

Assists app end users with benefits claim issues and plan changes

Stay familiarized with the details of Medefy client company health plans, third party vendors, health insurance, benefits details, and other relevant items necessary to facilitate user solutions, including client health plan changes, amendments, and alterations

Stays familiarized with Medefy software platform tools, HIPAA, and office policies

Work hand‐in‐hand with other Medefy departments to help users successfully complete their health care journey

Follow‐up with users to ensure they had a pleasant encounter and successful outcome

Provide above and beyond service and professional

Create referrals for the Referral Coordinators to process

Performs other related duties as assigned

Qualification

HR experienceBenefits administrationCommunication skillsMicrosoft OfficeTyping speed 50 WPMBilingual in SpanishFriendly personalityResearch skillsOrganizational skillsTime management

Required

Associate degree in HR or related field, but experience and/or other training/certification may be substituted for education

1 year experience in HR and/or benefits administration and applicable laws

Proficiency with computers, Microsoft Office, apps and instant messaging

Proficiency with text-based communication in real-time

Type at least 50 words per minute

Effective communication skills; verbal and written in English

Reading comprehension proficiency

A good general knowledge of the general healthcare ecosystem and trends

A relentlessly inquisitive nature, love researching and finding new answers

A professional demeanor, especially when assisting others who are experiencing challenges

Excellent organizational and time management skills

The ability to multitask, while working both quickly and efficiently

Willingness to cover night and weekend on-call shifts, if/when required

Friendly and helpful personality, who cares about helping others

Preferred

Bachelor's degree in human resources or related field of study

SHRM Certified Professional (SHRM-CP) or HRCI Professional in Human Resources (PHR) SHRM certification credentials

2+ years' experience working in health insurance or benefits (e.g. health brokerage, insurance, benefits advisory, insurance adjustment, etc.) fields

Bilingual - verbal and written in Spanish

In-depth knowledge of the health insurance processes, including claims processing, explanation of benefits formatting, and standard medical industry charge-off practices

In-depth understanding of healthcare referral management practices with the ability to effectively communicate these practices to consumers

Company

Medefy Health

Medefy is a healthcare benefits navigation mobile platform that helps employers revolutionize their benefits offerings by empowering health plan members to find and use their health benefits — right when they need them.

Founded in 2018

Tulsa, Oklahoma, USA

51-200 employees