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Indiana University Health

Specialist-Member Services II

IU Health Plans
Date Posted
09 August, 2023
Schedule & Shift
Full Time
Day
Requisition Number
350936-OTHLOC-300000007211415
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Specialist-Member Services II

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Job Description

Overview

Come join IU Health as a Specialist Member Services II.  We have an exciting opportunity at our Gateway Plaza location.

At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as training, leadership development, promotion opportunities and cross training development.

We offer a comprehensive benefits package designed for you, which includes medical, dental, vision, a matching 401K, PTO, tuition reimbursement program, wellness program, and more
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The Specialist Member Services II 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.


#LI-SL1
 

 

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

Come join IU Health as a Specialist Member Services II.  We have an exciting opportunity at our Gateway Plaza location.

At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as training, leadership development, promotion opportunities and cross training development.

We offer a comprehensive benefits package designed for you, which includes medical, dental, vision, a matching 401K, PTO, tuition reimbursement program, wellness program, and more
-----------------------------------------------------------------------------------------------------
The Specialist Member Services II 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

  • qualifications__list
    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.


    #LI-SL1
     

Job Page Content image

Indiana University Health is Indiana’s most comprehensive health system, with 15 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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