Assist members, prospective members, providers, and/or external vendors with member health plan benefit information, claim status, medical authorizations, health plan documents, and/or product information over the phone. Calls may be inbound or outbound. Employee may follow a script. Proficiently able to explain company products. Documents information into database. Calls are usually recorded for quality and verification purposes. May be a member of the Customer Service, Inbound Verification, Telemarketing, Pharmacy, or other department.
Responsible for answering benefit questions, resolving issues, and educating callers. Knowledge of products, processes, and systems. May have to seek guidance for more complex questions, complains, or issues.
Minimum Requirements: High School graduate; Less than five years of call center / customer service experience in a healthcare setting; Strong data entry skills; PC proficiency; Excellent verbal and written communication skills.
Preferred Requirements: College degree; bi-lingual in some markets.
HealthSpring, Inc. is an EOE/AA employer.
HealthSpring
9009 Carothers Parkway
Franklin, TN 37067