Member Customer Service, Benefit Value Advisor

Health Care Service Corporation

Posted 3 months ago

Full Time

Richardson, Texas

Hybrid

Smart Summary

Responsibilities

Act as a compassionate advocate for members by assisting them in maximizing their healthcare benefits via phone and written inquiries. Conduct research and provide prompt, accurate responses to members and physicians in a call center environment.

Qualifications

You have at least 6 months of customer service experience, with a high school diploma or GED, and possess strong communication and data entry skills. You are adept at evaluating customer situations, making independent decisions, and navigating web and PC interfaces to provide concierge-level service.

Must Have Skills for ATS

data entry

typing

motivational interviewing

web and PC proficiency

Job Description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

Being a compassionate and dedicated advocate for the member to demonstrate a concierge attitude when assisting members with maximizing their benefits. Navigating the healthcare system and reaching their optimal health. Responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Conducting research. Spending approximately 90 of the scheduled time on the phone according to business need.

This role will have onsite training in Richardson and training cannot be done remotely.

JOB REQUIREMENTS:
* High school diploma OR GED.
* 6 months customer service experience OR 6 months experience in an office environment.
* Clear and concise verbal and written communication skills, including motivational interviewing to interact with the members and physicians.
* Expertise and ability to successfully execute concierge level service for all members.
* Experience evaluating customer situations, making decisions, and responding quickly to questions.
* Data entry and/or typing experience.
* Interpersonal, verbal, and written communication skills and independent decision-making skills.
* Analytical and organizational skills.
* Ability to spend approximately 90% of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.
* Web and PC proficiency.


PREFERRED JOB REQUIREMENTS:
* 6 months customer service experience in a health care or health insurance environment.
* 6 months data entry experience in an office environment.
* Knowledge with health benefit plans and the insurance industry.
* Experience working with additional offerings (Ex: CDHP, Medicare, Wellness, Care and Condition Management).
* Knowledge of medical terminology and anatomy.

This role will have onsite training in Richardson and then is expected to be a remote role (work from home) after 6-10 weeks. The starting pay will be $23.50/hour. And the schedule will be Monday - Friday falling anywhere within 8am-6pm CST.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$17.75 - $28.39

Exact compensation may vary based on skills, experience, and location.

Health Care Service Corporation

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions. HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status. Image(s) may have been created or enhanced using artificial intelligence tools.
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