Member Care Specialist
Centivo
We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.
Centivo is looking to hire Member Care/Provider Specialists to join our team! prior customer service experience is a plus. Our paid training program is scheduled to start on October 21, 2024.
The training schedule will be Monday - Friday from 8:00 am to 4:30 pm. After training is completed, you will work a specific shift.
A career in healthcare needs to begin somewhere and we believe this is a great place to kick it off (and grow) with an hourly rate starting at $18 (up to $20 depending on prior experience).
If you think you’d like:
Supporting members and healthcare providers on inquiries
Researching and solving complex problems
Educating members and healthcare providers on benefits and navigation of our site, and
Disrupting the healthcare system
you might be our next Member Care Specialist!
Still reading? Here is more about the opportunity.
What you’ll do:
Accept inbound calls from members and providers on inquiries about benefits, eligibility, and claims
Research complex inquiries by use of tools, documentation, and outbound calls
Educate members and providers on benefits and navigation of Centivo site, tools, and applications
Document all interactions and ensure proper processes/procedures are followed and follow up action is taken
De-escalate calls when necessary
Address first-level complaints and assist with appeals as needed;
You should have:
High school diploma or GED
Provider office experience
Familiarity with the Microsoft operating system and its suite of applications (Outlook, Word, Excel) and can quickly learn other proprietary computer systems
Ability to communicate professionally, both written and verbal
Attention to detail
Problem solving skills
These are not required, but would be nice to have:
1-2 years of experience in provider billing or health care insurance billing
Fast-paced Call Center experience
Bilingual
Location:
This role is located in our downtown Buffalo, NY office.
Who we are:
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.
Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.