Healthcare Client Specialist $20/hr Fulltime

Get To Know Us!

WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. 

Key position details: 

• In office at 19100 Ridgewood Pkwy San Antonio TX 78259
• $20.00 per hour 
• Full time position (40 hours per week M-F)
• Amazing Benefits and Growth Opportunities 
• Training Hours: Monday to Friday 8:00am to 4:30pm CST required 
• Ability to work Monday to Friday from 7am - 6pm CST

What is your impact?
The Client Specialist position is highly focused on resolving client-related issues and providing expert-level resolution to complex cases. This role will also be responsible for handling inbound and outbound customer calls from both providers and members related to the client's benefit group

What you will be doing: 

• Primary client contact for claims and customer service issues and question for assigned accounts. Main customer service contact to resolve issues and identify customer needs on a pro-active basis.
• Assisting with customer service phone calls and queues as assigned.
  • Identify members who have high claim volumes or excessive calls to customer service, which may be an indication that they need help understanding their plan or help with finding solutions
  • Work directly with the Benefit Consultant for the employer group, to resolve claim or customer service issues.
• Researching claim appeals, researching benefit questions, locating in-network providers. 

Qualifications
-1+ years related work experience in customer service 
-High school diploma or GED 
-Knowledge of medical CPT and ICD-9 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits a plus
-Concise written and oral communication skills required, including the ability to deal with conflict. 
-Knowledge of all MS Office products.