Full-Time

Member Care and Provider Specialist/Customer Service

Posted on 5/10/2024

Centivo

Centivo

201-500 employees

Health plan provider for self-funded employers

Data & Analytics

Compensation Overview

$18 - $20Hourly

+ Bonuses + Equity Option Grants

Entry, Junior

Remote in USA

Required Skills
Customer Service
Requirements
  • High school diploma or GED
  • Provider office experience
  • Some computer skills
  • Familiarity with the Microsoft operating system and their suite of applications (Outlook, Word, Excel)
  • Ability to communicate professionally, both written and verbal
  • Attention to detail
  • Problem solving skills
Responsibilities
  • Accept inbound calls from members and providers on inquiries pertaining to benefits, eligibility, and claims
  • Research complex inquiries by use of tools, documentation, and outbound calls
  • Educate members and providers on benefits and navigation of Centivo site, tools, and applications
  • Document all interactions and ensure proper processes/procedures are followed and follow up action is taken
  • De-escalate calls when necessary
  • Address first level complaints and provide assistance on appeals as needed

Centivo is redefining health plans for self-funded employers by focusing on a primary care-based ACO model and providing inclusive services such as free primary care, predictable copays, and a zero-deductible benefit design. Its proprietary technology, including a specialized app and member portal, offers seamless access to virtual care and comprehensive plan administration. This commitment to clear, cost-effective healthcare solutions makes it a dynamic workplace, particularly for those passionate about transformative healthcare services and technological integration in medical administration.

Company Stage

Series B

Total Funding

$151.4M

Headquarters

Buffalo, New York

Founded

2017

Growth & Insights
Headcount

6 month growth

0%

1 year growth

-2%

2 year growth

18%

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

INACTIVE