You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated and experienced Team Representative to join their Member Experience team. The primary goal of this role is to alleviate administrative burdens from members by providing exceptional customer service and addressing inquiries related to benefits, eligibility, and other service issues.
Key Responsibilities
- Provide comprehensive customer service by answering questions regarding benefits, eligibility, and claims.
- Engage with providers and handle demanding inquiries with confidence and precision.
- Possess a strong understanding of claims and the follow-up process, including deductible and cost-share estimations.
Qualifications
- Approx. 3 years of insurance customer service experience.
- High-level understanding of claims and experience with EOB and eligibility.
- Strong phone and written communication skills.
- Experience in commercial health insurance preferred.
Skills
- Familiarity with claims processing and healthcare insurance.
- Ability to manage secure, private workspace and technical proficiency with personal equipment like a second monitor, mouse, headset, and backup internet solutions.
Additional Requirements
- Must provide personal equipment for remote work, excluding the laptop provided by the company.
- Maintain a secure workspace with a reliable internet connection and backup options.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
Our client follows mandatory compliance standards in accordance with local, state, and federal laws.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
