Member Services Representative Eastern Time Zone Only

ArchWell Health is a new innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable accessible neighborhood clinics where seniors can feel at home and become part of a vibrant wellness-focused community. Our members experience greater continuity of care as well as the comfort of knowing they will be treated with respect by people who genuinely care about them their families and their Summary:The Member Services Representative is responsible for providing outreach to our members to help them navigate the complex healthcare delivery system. This will entail verifying their primary care physician and eligibility and contacting their insurance plan when applicable to ensure they are assigned to ArchWell Health. This role has the potential to handle provider data management and will need to verify AWH provider information with these insurance partners when applicable. An ideal candidate will have a deep understanding of the healthcare ecosystem have strong attention to detail and be driven by a passion for providing quality care to to members and insurance partners over the phone to verify members are assigned to ArchWell Health and schedule members for appointmentsComplete proper documentation of all member and payor outreachAssist members in problem solving potential issues related to the health care systemValidate provider data on file with insurance partnersUtilize and manipulate shared Excel spreadsheets to track membership and Skills/Abilities:Proficient PC skills to include Microsoft Office and ExcelPassion for helping senior members successfully carry out care plansAbility to work effectively with diverse populations including staff providers members family members insurance carriers vendors and the publicBasic medical terminologyUnderstanding of Medicare AdvantageEducation and Experience:High school diploma or equivalent education (GED) requiredA minimum of one year working in healthcare ideally with experience related to benefits and insurance requiredeClinical Works or similar EMR experience preferredArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race color religion age sex sexual orientation gender identity national origin disability veteran status or any other protected classification.