Specialist-Member Services II
Job Location
Department
25 August, 2022
Full Time
Day
337178
Specialist-Member Services II
This job posting is no longer active.
Job Description
Overview
Provides technical, procedural and system education to customers about all aspects of health plan membership including eligibility, benefits, authorizations, and participating providers. Responds to escalated claim inquiries including claim payment and claim denial questions. Utilizes a high level of interpersonal and communications sills to respond to inquiries from customers and to resolve complaints. Deliver excellent customer service by providing prompt, polite and accurate information to all members and providers. Reports trends and resolutions to management for training usage and service quality improvements
• 3-5 years of experience required.
• Requires working knowledge of HIPAA Privacy Rules compliance.
• Bachelors Degree preferred
• Healthcare call center or medical office experience preferred.
We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Qualifications for the Specialist-Member Services II Role
Overview
Provides technical, procedural and system education to customers about all aspects of health plan membership including eligibility, benefits, authorizations, and participating providers. Responds to escalated claim inquiries including claim payment and claim denial questions. Utilizes a high level of interpersonal and communications sills to respond to inquiries from customers and to resolve complaints. Deliver excellent customer service by providing prompt, polite and accurate information to all members and providers. Reports trends and resolutions to management for training usage and service quality improvements
- Requires a High School Diploma/GED.
- 3-5 years of experience required.
- Requires working knowledge of HIPAA Privacy Rules compliance.
- Bachelors Degree preferred
- Healthcare call center or medical office experience preferred.
Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.
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