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 Customer Engagement Manager responsible for delivering exceptional customer service through electronic correspondence. This role involves managing stakeholder inquiries, ensuring timely resolution, and providing guidance on benefits and policies.

Key Responsibilities

• Inquiry Management: Deliver customer service support via electronic correspondence to resolve stakeholder inquiries.
• End to End Issue Resolution: Oversee the lifecycle of stakeholder inquiries from discovery through resolution, ensuring timely follow-up.
• Proactively Identify and Address Needs: Identify the root cause of inquiries to address stakeholder needs and suggest internal process adjustments for recurring barriers.
• Customer Service Experience Documentation: Document all customer interactions within the CRM system to ensure a seamless experience and satisfy audit standards.
• Benefit and Policy Support: Analyze plan documents to provide guidance on member eligibility, coverage limits, and cost-sharing responsibilities.
• Claims and Billing Reconciliation: Research medical claim processing status and billing discrepancies, initiating adjustments as per guidelines.
• Cross Functional Responsibilities: Identify systemic operational hurdles and collaborate with stakeholders for resolution.

Qualifications

• Must live and work in Texas.
• Proficiency in Spanish is preferred.

Experience

• At least 2 years of related work experience within the health insurance industry.
• Call center or customer service experience required.

Additional Requirements

• Remote work environment.
• Monday - Friday 8-5pm CST.

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 adheres to relevant employment and compliance regulations.

^*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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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