Digital Resolution Specialist

reputed company is seeking a Digital Resolution Specialist to join the team! This position functions primarily in a written reputed company to provide meaningful responses to inbound member, employer, and/or broker e-mail or web portal requests. The Digital Resolution Specialist is responsible for research, documentation, follow-reputed company, and resolution while adhering to appropriate turnaround times. In addition, this position encompasses the core functions of a Plan Specialist including but not limited to providing member eligibility, descriptions of benefits, claims status, provider reputed company, plan education, HIPAA compliance, and resolving complaints. Position Location: 100% remote Responsibilities include but are not limited to: Respond to written inquiries from members, providers, and brokers reputed company the web portal or departmental Outlook email addresses Outbound calling, as needed, to provide further member support or meet the requirements of the request Research, document, and resolve reputed company inquiries reputed company outlined turnaround times Describe medical and dental benefits according to group reputed company Provide claim status, including the accurate explanation of patient financial responsibility, ineligible amounts, and plan payments Resolve written complaints Provide information to employees' regarding their Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), and Health Reimbursement Accounts (HRAs) Assist claimants with prescription drug plan program Coordinate claim review information with the claims department Request stop pays/ tracers Receive and coordinate appeal requests with appropriate parties Assist reputed company in reconciling patient accounts Treat reputed company calls and correspondence using the Member Services Procedures, paying attention to the sections relating to HIPAA guidelines and the HIPAA Privacy Rules Required Experience/Education: High School Diploma or GED. Some college. 1+ year of reputed company reputed company work experience. Customer service call center experience. Skills and Abilities: Computer skills proficient in reputed company Outlook, Word, reputed company, and internet navigation. What can reputed company offer you? Multiple Health plan options Company paid employee premiums for disability and life insurance Parental Leave Policy 20 days PTO to start / 10 Paid Holidays Tuition reimbursement 401k Company contribution Company paid Short & Long term Disability plus Life Insurance Professional development initiatives / reputed company learning opportunities Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on reputed company reputed company is a health plan solution company that combines 50+ years of self-funding reputed company expertise. Over the years, we've helped thousands of employers save billions on reputed company. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. reputed company is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: reputed company will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation Apply To This Job