Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Fully remote position, offering flexibility to work from anywhere within Washington State
- Supportive and collaborative team environment
- Chance to make a positive impact on underserved communities
- Commitment to diversity and inclusion within the workforce

What to Expect (Job Responsibilities):
- Respond accurately and courteously to member and provider inquiries regarding benefits, eligibility, claims status, and accessing care
- Document inquiries, complaints, and other data in a computer database in a clear and timely manner
- Provide support to members during the Medicare Annual Election Period, including variable shifts and weekend hours
- Advise providers on claim processing outcomes and take appropriate actions on their behalf
- Meet attendance and call quality standards while performing all functions with accuracy and attention to detail

What is Required (Qualifications):
- Minimum of three (3) years of call center experience, preferably in insurance, managed care, or a provider setting
- Experience with state and federal programs, including Washington Apple Health and Medicare Advantage Plans
- Knowledge of medical terminology and healthcare
- Excellent verbal and written communication skills, including typing
- Ability to use MS Office products such as Outlook, Word, and Excel

How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related call center environment
- Familiarity with claims processing and healthcare protocols
- Strong problem-solving skills and ability to assess information from multiple systems
- Commitment to maintaining member confidentiality and treating others with respect and courtesy

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.