Innova · 1 day ago
Member Services Specialist
Irving, TX
Full-time
Onsite
New Grad, Entry Level
$18/hr - $20/hrInnova Solutions is a leading staffing firm headquartered in Atlanta, Georgia, and they are seeking a Member Services Specialist. This role involves providing high-quality support to members, providers, and brokers, with a focus on first-call resolution and developing knowledge of healthcare offerings.
CRMInformation TechnologyMobile PaymentsSoftware
Responsibilities
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, following prescribed workflows and audit-ready standards
This role provides a structured pathway for advancement, with progressive training in claims interpretation, premium payment processing, and multi-line service delivery, laying the foundation for future specialization and leadership opportunities
Qualification
Required
Meets expectations of the applicable client's Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Begin mastery of four core systems (e.g., HSP, HPS, HealthTrio, and Zelis) to independently resolve inquiries and complete calls
Benefits
Medical & pharmacy coverage
Dental/vision insurance
401(k)
Health saving account (HSA)
Flexible spending account (FSA)
Life Insurance
Pet Insurance
Short term and Long term Disability
Accident & Critical illness coverage
Pre-paid legal & ID theft protection
Sick time
Other types of paid leaves (as required by law)
Employee Assistance Program (EAP)
Company
Innova
İnnova Bilişim Çözümleri A.Ş, farklı teknolojilerde bilgi birikimine sahip 1400 kişilik profesyonel kadrosu ile Türkiye’nin önde gelen bilişim çözümleri firmasıdır.
Founded in 1999
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase