Customer Engagement Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Avēsis · 3 hours ago

Customer Engagement Specialist

Avēsis is a leading provider of supplemental benefits, dedicated to improving access to dental care for Medicaid recipients. In the role of Customer Engagement Specialist, you will provide compassionate support and expert guidance to members, helping them navigate their benefits and resolve inquiries to enhance their experience.

Insurance

Responsibilities

Answer 40-60 inbound calls, responding to inquiries ranging from routine to moderate complexity
Capture member information accurately and update systems with complete and concise data
Ensure flexibility, stay organized, and comply with constantly changing programs and business rules
Investigate issues that cannot be resolved at the time of initial call. Collaborate with internal teams to research and follow up with the Member until a resolution occurs
Comfortable working in the healthcare field, with an acute awareness for privacy, confidentiality, HIPAA requirements and professionalism
Ability to determine proper issue escalation - joining forces with other internal departments for answers, therefore closing the loop and providing a solution for the Member

Qualification

Healthcare customer serviceHigh-volume call centerHIPAA complianceMicrosoft WordMicrosoft ExcelSpanish fluencyEmpathyLogical thinkingActive listeningVerbal communication

Required

High School Diploma or equivalent required
2+ years of experience in a healthcare customer service role
1+ year of experience in a high-volume call center
Ability to work 40 hours/week, Monday - Friday, with availability between 7:00 a.m. and 8:00 p.m. Eastern Time is required
Proficient computer skills including Microsoft Word, Excel, Outlook required
Capacity to work unencumbered and independently in a home office/virtual environment
Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 50 Mbps download/25 Mbps upload required. *No mobile hot spots permitted
Proficiency to navigate multiple computer software/systems and multi-screen functionality with ease
Demonstrated sensitivity, empathy, and compassion with Member callers
Able to maintain confidentiality and adhere to HIPAA requirements
Excellent written communication: ability to document caller interactions in a concise manner
Active listening skills while providing exceptional customer service
Excellent verbal communication skills with the ability to present information in an empathetic, clear, way. Must be adaptable, flexible, and readily able to adjust to changing situations
Able to apply logical thinking when evaluating problems
Adept to interacting with diverse populations
Overtime may be required at times during peak seasons

Preferred

Associate's Degree in Business, Management, or Operations
2+ years of experience in dental insurance or a dental office
Exposure to Medicare, Medicare Advantage, or Medicaid insurance claims
Fluency in Spanish highly desired

Benefits

Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work.

Company

Avēsis

twitter
company-logo
Guiding you to wellness with innovative tools, equitable access, and a personal touch.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Sean Slovenski
Chief Executive Officer
linkedin
leader-logo
Karim Bennis
Executive Vice President, Chief Operating Officer
linkedin
Company data provided by crunchbase