Health Benefits Specialist (Customer Service) - NV

Job Description:

Remote/Work from home opportunities available upon completion of training, phone certification and work requirement standards process.

Successful candidates will receive a $1500 sign-on bonus!!

$500 paid after successfully completing basic training (60 days) and $1000 paid after successfully completing phone certification and being in the position for 6 months.

Select Health has been awarded “Best Companies to Work for” sixteen times and “Top Workplaces” nine times.

Health Benefits Specialist – Phones

Our training for these positions includes learning how to provide excellent Customer Service with incoming calls by being a knowledgeable resource, resolving disputes, maintaining confidentiality, and creating an exceptional experience for all.

As a Health Benefits Specialist (HBS), you will become an expert in health insurance. You will represent Select Health and help members and customers navigate the complexity of health insurance by helping them understand their benefits, resolve claims issues, and get the most value out of their plan.

Beyond that, in this role, you’ll be able to:

• Help people—our members love our superior service, so this is your opportunity to shine
• Make a difference—you’ll be helping people during good and bad times (think having a baby or experiencing illness)
• Connect with others—sometimes all it takes is one phone call to create trust with our members
• Encourage a healthy lifestyle—because we want what’s best for our members
• Support our values—you’ll have the chance to exemplify these with each member interaction

Outstanding benefits . In addition to competitive wages, you’ll also enjoy great benefits, including:

• In-office, remote/work from home, or hybrid (3 in-office/2 home) work environment opportunities after initial in office training, phone certification, and work requirement standards process.
• $1500 sign-on bonus
• Monthly incentives
• Referral bonuses
• Paid time off and holidays
• Medical and dental insurance
• 401(k) retirement savings program with an employer match
• Tuition reimbursement
• Energetic culture
• Employee wellness program
• Online wellness classes including fitness, stretching, and mindfulness workshops
• Monthly wellness webinars
• Annual employee appreciation week
• Casual in-office dress code

Job Description

The Health Benefits Specialist provides exceptional Customer Service to all Select Health members, employer groups, providers, facilities and other Select Health departments. As part of Intermountain Health, Select Health is more than just an insurance company. We strive to provide our members with affordable health insurance and access to high-quality care, while resolving all concerns in a timely manner. Select Health has been named as one of 12 "Best Companies to Work For" by Utah Business magazine for eight years in a row.

Please watch the “What is a Health Benefits Specialist?” video (link) below to gain an idea of what the position will entail.

https://youtu.be/6VHDA2T1B7g

Upon hire, we’ll provide a paid in office, seven-week training and mentoring experience. Training includes learning how to provide superior Customer Service to customers by modeling Select Health Service Commitments, being a knowledgeable resource, helping customers maximize the value of their plan and navigate the complexities of healthcare, resolving concerns, and maintaining confidentiality. The position involves managing multiple applications, completing follow-up on complicated issues, and working with other teams to deliver superior service. Employees will deliver superior Customer Service through multiple customer channels such as phone calls, emails, and online chat.

If selected to advance in the hiring process, this position will include an in office interview. Please review your email closely over the next week for a potential invitation from SHMemberServicesHiring@imail.org.

Entry Rate: $20/hour; plus a potential maximum monthly performance-based bonus of $219 shortly after training in addition to a $1500 sign on bonus paid if in position for 6 months.

Benefits Eligible: Yes - Paid time off, tuition reimbursement, medical, dental, and vision insurance. Some benefits start immediately and others—like medical, dental, and vision—start the first day of the month following start date.

Shift Details: Start Date: May 13th, 2024 ( In Office Training ) Throughout the seven-week training and phone certification process, employees work Monday through Friday, 8:00 a.m. to 4:30 p.m.

Due to extensive training, time off will not be approved for the first 60 days of employment.

Post training, shifts will typically fall within regular business hours: Monday through Friday, 6:00 a.m. to 8:00 p.m., and Saturday 7:00 a.m. to 2:00 p.m.

In Office and Remote Options: The opportunity to work from home will be an available option after the completion of training, phone certification, and work requirement standards process. Job specific standards and a work at home conducive environment are required before making this transition. This timeline can take up to 6 months at minimum after starting in the position.

Job Essentials
1. Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior Customer Service that is consistent with policies, company values, and quality standards.
2. Resolves customer's issues on the initial call or provides timely follow-up when additional research is required.
3. Complies with established criteria for response time, handling time, availability, and call flow.
4. Complies with established auditing criteria. Stays current and conversant on general plan design and modifications to provide accurate and appropriate information.
5. Maintains the confidentiality of member's personal information to be compliant with internal confidentiality policy. Maintains customer history in member tracking using correct codes and detailed comments.
6. Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments. Makes exception/empowerment decisions within the established exception policy.
7. Follows established guidelines to complete pre-notifications/pre-certifications for members and providers.

#SelectHealth

Minimum Qualifications

• Demonstrated Customer Service experience.
• Demonstrated ability to provide superior Customer Service.
• Demonstrated ability to listen and communicate effectively.
• Demonstrated ability to problem solve and work under pressure.
• Demonstrated proficiency in navigating computer systems, typing, technologies.
• Ability to multi-task, set priorities and manage time effectively.

Preferred Qualifications

• Contact center experience
• Bilingual in English and Spanish

Physical Requirements:

Physical Requirements

• Interact with others requiring the employee to communicate information.
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Anticipated job posting close date:

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers , and for our Colorado, Montana, and Kansas based caregivers ; and our commitment to diversity, equity, and inclusion .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.