Curana Health · 1 day ago
Member Services Specialist
Glen Allen, VA
Full-time
Onsite
New Grad, Entry LevelCurana Health is on a mission to radically improve the health, happiness, and dignity of older adults. The Member Services Specialist role involves responding to inquiries related to Medicare benefits and ensuring positive relations with members and providers while maintaining accurate records and documentation.
Hospital & Health Care
Responsibilities
Responds to Member/Provider questions via telephone and written correspondence regarding Medicare benefits, enrollment questions, change requests, eligibility, and claims
Analyzes problems and provides information/solutions
Utilizes internal systems to obtain and extract information, documents information, activities, and changes in the database
Thoroughly documents inquiry outcomes for accurate tracking and analysis
Develops and maintains positive member/provider relations and coordinates with various functions within the company to ensure requests and questions are handled appropriately and in a timely manner
Researches and analyzes data to address operational challenges and member/provider service issues
Requires knowledge of health insurance benefits
Seeks, understands, and responds to the needs and expectations of internal and external customers
Create and manage documentation specific to contact center
Other duties as assigned
Qualification
Required
H.S. graduate or GED
Heath insurance experience required
Proficient written and oral communication skills required
Compliance, at all times, with CMS regulations regarding Medicare Advantage Plans
Exceptional interpersonal skills with demonstrated ability to work independently as well as with a team
Exceptional organizational skills
Proficiency in computer skills including Microsoft Office Suite products
Preferred
Medicare experience preferred. Medicare Advantage plans experience is a bonus
Customer service and Call center experience preferred
Company
Curana Health
A national leader in value-based care, Curana Health is on a mission to improve the health, happiness, and dignity of older adults across the country.
Founded in 2021
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Brian Arnds
Chief People Officer
Darryl Landahl
Chief Legal Officer
Recent News
2023-09-11
Business Journals
2023-05-16
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