Benefits Coordinator

Kingwood, TX 77094

Posted: 10/09/2019 Employment Type: Full Time Seasonal Industry: Insurance Job Number: 583INSBC-HOU Pay Rate: $16 Branch: Houston Northwest, TX Division:

Role Summary

In this pivotal role, Benefits Coordinator respond to complex inquiries regarding benefits, billing, eligibility, coverage and other related information and provide solutions for customers, clients and health care professional via phone and email.

Creative problem solving, critical thinking and empathy skills are essential. Professional interaction, active and passive listening skills and the ability to utilize computer- based resources in a highly effective manner to educate and provide accurate responses to customer inquiries is crucial for success in the role, along with the innate ability to be compassionate and empathetic when appropriate when handling complex customer inquiries.

Benefits Coordinator responds to customer, health care professional and client inquiries primarily regarding:

  • Eligibility to receive benefits associated with their individual or company sponsored health insurance plan
  • Determination of out of pocket costs related to medical or dental office visits, prescription medications, inpatient and outpatient procedures, diagnostic imaging for treatment of injuries, medical equipment and preventive care
  • Understanding of payments and claims related to office and hospital visits and medical and dental procedures, and thoroughly explaining how customer benefits are applied to costs associated with these visits and procedures
  • Finding an in-network primary care or specialist doctor in a geographical area or specialty
  • Education on disease management programs and healthy living programs personalized to the customer’s medical condition or health improvement goals.

Benefits Coordinator is measured on:

  • Direct feedback from customer and health care professionals via post call surveys, which include:
    • The ability of the customer service advocate to resolve their inquiry
    • Their satisfaction with the overall experience while they spoke with the advocate
    • The level of effort that the customer experienced in resolving their inquiry
  • Internal quality assessments that measure how accurately and efficiently the customer service advocate responded to the inquiry

Does this sound like you?

  • Customer Focused – a genuine desire to help people
  • Problem solver – understand issues and enjoy solving them
  • Active listener, with the ability to provide confident responses
  • Effective user of tools – including knowledge management tools and resources
  • Able to manage real-time inquiries while keeping track of and responding to commitments to follow-up with customer inquiries
  • Collaborator – enjoys working with co-workers across different functional areas
  • Professional and tactful – able to respond to and calm a situation
  • Able to offer options and educate customers when appropriate

Click here to navigate to the AtWork website and follow the link on the bottom right to register an account/ apply!

 

If you have questions please reach out to Cristal Torres at 832-974-4652

You are the right person if you have:

  • High School Diploma or equivalent required
  • Associates or Bachelor’s degree preferred
  • Three plus year’s external Customer Service experience
  • Demonstrated experience analyzing and resolving customer problems
  • Call center experience preferred
  • Demonstrated proficiency using PC software and high level capacity to multitask independently and use a computer
  • Knowledge of Medical Terminology a PLUS
  • Excellent written and oral communication skills
  • Ability to perform in a high volume, fast paced call center environment

Click here to navigate to the AtWork website and follow the link on the bottom right to register an account/ apply!

 

If you have questions please reach out to Cristal Torres at 832-974-4652

Click here to navigate to the AtWork website and follow the link on the bottom right to register an account/ apply!

 

If you have questions please reach out to Cristal Torres at 832-974-4652

Cristal Torres

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