[Hiring] Support Services Specialist @Yuzu

Role Description

The Member and Provider Experience Specialist serves as the first point of contact for members and healthcare providers, delivering high-quality, compassionate, and solution-oriented support over the phone. This role is responsible for resolving benefit, eligibility, and claims-related inquiries while ensuring an exceptional service experience for all stakeholders.

• Answer inbound calls from members and providers in a professional and courteous manner.
• Provide accurate information regarding benefits, eligibility, claims status, authorizations, and network participation.
• Research and resolve complex inquiries by collaborating with internal departments.
• Educate members and providers on plan policies, digital tools, and available resources.
• Escalate issues as appropriate to ensure timely resolution.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Meet or exceed performance metrics related to call quality, timeliness, and customer satisfaction.
• Play a critical role in evolving and strengthening our Support team as we scale and take on new challenges.

Qualifications

• Motivated, ethical, and compassionate individual.
• Thrives in a fast-paced, detail-oriented environment.
• Passionate about doing the right thing and making a difference.

Requirements

• Empathy and active listening.
• A strong commitment to accuracy and attention to detail.
• The ability to prioritize workload effectively in a fast-paced environment.
• Strong communication skills.
• Problem-solving and critical thinking.
• Dependability and accountability.
• Team-oriented mindset.

Benefits

• Equity opportunities.
• Competitive Salary.
• Approximately $48-$55k in annual salary depending on experience, location, and desired equity.
• Health benefits.
• 401K with Employer matching.
• Career growth and development opportunities.
• Remote capabilities.
• Work Hours will be Monday - Friday 9am - 6pm EST.
• High-trust team with radically high transparency and autonomy.

Company Description

Yuzu is a tech-enabled, vertically integrated Third Party Administrator (TPA) that powers innovative health plans centered on care navigation, capitated primary care, and real-time payments. We currently support thousands of employees and differentiate ourselves by helping new models of healthcare delivery come to life — enabling new ways to access and pay for care through health care coverage.

Our goal is simple: make it easy for any business to build and manage a custom health plan. We do this by efficiently processing claims, ensuring regulatory compliance, and building technology that enables custom payment flows and seamless collaboration across stakeholders. Equally important, we provide our members with high-quality support to ensure they have the guidance and assistance they need at every step of their healthcare journey.