Member Services Senior Processor

Added
2 hours ago
Type
Full time
Salary
Salary not provided

Related skills

documentation microsoft office healthcare workflow management servicenow

📋 Description

  • Handle high-complexity applications, certifications, transfers, appeals, and supporting docs
  • Lead processor for escalated cases; guide junior processing teams.
  • Primary escalation point for complex cases needing minimal supervisor involvement.
  • Assist supervisors with workflow coordination, priorities, and quality monitoring.
  • Review others’ work for accuracy, completeness, and policy compliance.
  • Provide feedback and coaching to improve processing quality and performance.

🎯 Requirements

  • High school diploma or equivalent.
  • 3–5 years in processing, admin support, operations, or high-volume service.
  • Strong understanding of member processing workflows, eligibility, and regulatory considerations.
  • Ability to analyze complex docs and process cases accurately and efficiently.
  • Strong customer service, communication, problem-solving, and organization skills.
  • Ability to handle sensitive information professionally with diverse stakeholders.

🎁 Benefits

  • Estimated hourly compensation of $20.40–$27.60 depending on experience and location.
  • Flexible work arrangements for work-life balance.
  • 401(k) with employer matching.
  • Comprehensive medical, dental, and vision coverage; multiple plan options.
  • Health Savings Account options with eligible plans.
  • Paid vacation, sick, personal time, and holidays.
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