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Benefits Navigation Specialist

Key Facts

Remote From: 
Full time
English

Other Skills

  • Customer Service
  • Professionalism
  • Friendliness
  • Communication
  • Time Management
  • Teamwork
  • Detail Oriented
  • Problem Solving

Requirements:

  • Monitor and respond to incoming user chats in a friendly, timely (2 minutes or less), and HIPAA-compliant manner via computer-based applications
  • Answer users’ benefits questions, health insurance questions, coverage questions, and other related inquiries via chat on the Medefy app
  • Assist app end users with benefits claim issues and plan changes; stay familiar with client health plans, third-party vendors, health insurance details, and changes to facilitate user solutions
  • Collaborate with other Medefy departments, follow up with users to ensure a pleasant encounter and successful outcome, and create referrals for the Referral Coordinators

Job description

Work Schedules Available:

  • SHIFT 1: M-F, 8 AM – 5 PM (40 hours p/week) 

  • SHIFT 2: M-F, 9 AM – 6 PM (40 hours p/week) 

  • SHIFT 3: T-Th (+2 Flex), 7 AM – 4 PM (40 hours p/week) 

  • SHIFT 4: F-Su (+2 Flex), - 8 AM – 5 PM (40 hours p/week) 

  • SHIFT 5: Sa-W, 2 PM – 11 PM (40 hours p/week) 

Job Summary:

As a Benefits Navigation Specialist (BNS) at Medefy Health you will be responsible for assisting with the administration, navigation, and explanation of company benefit plans serviced by the Medefy app.   Benefits Navigation Specialists will educate plan members on their specific benefits plans, answer benefits/claims/pharmacy/healthcare questions and lead users to low-cost, high-quality doctors and facilities in a friendly and time‐sensitive manner all through live chat via the Medefy platform. The goal of the Benefits Navigator is to use their skill, knowledge, and friendly attitude to assist plan members through a successful and pleasant benefits/healthcare journey.  

About our awesome company, Medefy Health...

Medefy Health (www.Medefy.com) is a leading SaaS benefits navigation company, dedicated to simplifying the way employees’ access and utilize their benefits. Our mission is to drive better health and financial outcomes for our users while supporting HR teams and broker partners with seamless, data-driven solutions. 

Our company is headquartered in Tulsa, OK. We’re proud to be Oklahoma’s #1 fastest-growing company and rated by Inc. Magazine as the 37th fastest-growing tech company and the 288th fastest-growing company overall in the USA, and our story is still being written!

Healthcare is only getting more complicated, and more expensive, for employers and their employees. This is where Medefy Health comes in. We’re on a mission to eliminate the stress on hard-working families caused by an impossible to navigate healthcare system. All while saving them, and their employers, a significant amount of time and money. We demolish barriers between healthcare and the people who need it, and we need your help to further our mission!

Job Duties & Responsibilities:

  • Monitor and respond to incoming user chats in a friendly, timely (2 minutes or less), and HIPAA‐compliant manner via computer-based applications  
  • Answer users’ benefits questions, health insurance questions, coverage questions, and other related inquiries via chat feature on the Medefy app 
  • Assists app end users with benefits claim issues and plan changes 
  • Stay familiarized with the details of Medefy client company health plans, third party vendors, health insurance, benefits details, and other relevant items necessary to facilitate user solutions, including client health plan changes, amendments, and alterations  
  • Stays familiarized with Medefy software platform tools, HIPAA, and office policies  
  • Work hand‐in‐hand with other Medefy departments to help users successfully complete their health care journey  
  • Follow‐up with users to ensure they had a pleasant encounter and successful outcome  
  • Provide above and beyond service and professional 
  • Create referrals for the Referral Coordinators to process 
  • Performs other related duties as assigned 

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