Healthcare Specialist (Remote)

Actalent • Redlands, CA, United States • $200k - $250k / year • 1m ago

3 days ago Be among the first 25 applicants

Job Description

The Member Services Specialist is responsible for answering incoming inquiries from health plan members, employers, providers, and health plans. This role involves assessing the purpose of the inquiry and providing appropriate information. Key responsibilities include handling inquiries from members, employers, providers, and health plan coordinators, assessing patient needs and providing assistance by routing them to the appropriate department or party, projecting a professional and helpful demeanor to all patients, remaining calm when handling difficult or upset patients, consistently providing accurate and thorough information to patients, and using available resources to research and resolve moderately complex issues.

Job Title: Member Services Specialist

Job Description

The Member Services Specialist is responsible for answering incoming inquiries from health plan members, employers, providers, and health plans. This role involves assessing the purpose of the inquiry and providing appropriate information. Key responsibilities include handling inquiries from members, employers, providers, and health plan coordinators, assessing patient needs and providing assistance by routing them to the appropriate department or party, projecting a professional and helpful demeanor to all patients, remaining calm when handling difficult or upset patients, consistently providing accurate and thorough information to patients, and using available resources to research and resolve moderately complex issues.

Hard Skills

Managed Care
Troubleshooting
Medical Terminology

Soft Skills

Professional demeanor
Calm under pressure
Attention to detail

Job Type

This is a contract position with a duration of 6 Month(s).

Work Site

This is a fully remote position.

Work Environment

Monday-Friday 8am-5pm (1 hour lunch). Remote office. Early start times if necessary, must be approved by the director and only if the queue is high.

For immediate consideration, email your updated resume to ryreyes@ actalentservices.com along with a couple of reasons why you're a strong fit for the role.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.