Employer Industry: Healthcare Services

Why consider this job opportunity:
- Annual incentive target of 5% based on performance goals
- Comprehensive benefits package including Medical, Dental, Vision, and more
- Flexible Spending Accounts and Health Savings Accounts available
- Generous paid time off starting at 17 days per year plus holidays
- Supportive work environment focused on equity and reducing health disparities
- Fully remote position allows for a flexible work-life balance

What to Expect (Job Responsibilities):
- Respond to member and provider inquiries regarding benefits, eligibility, and claims status
- Document inquiries and complaints accurately in the computer database
- Provide support during the Medicare Annual Election Period, including variable shifts
- Advise providers on claim processing outcomes and take appropriate actions
- Meet attendance and call quality standards while performing all job functions with accuracy

What is Required (Qualifications):
- Minimum of three (3) years of call center experience, preferably in insurance or managed care
- Knowledge of medical terminology and healthcare concepts
- Ability to use MS Office products such as Outlook, Word, and Excel
- Excellent verbal and written communication skills
- Successful completion of a criminal background check

How to Stand Out (Preferred Qualifications):
- Experience with state and federal programs, specifically Washington Apple Health and Medicare Advantage Plans
- Familiarity with claims processing and related protocols
- Previous experience in a collaborative healthcare team environment

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