Senior Associate, Member Services

Job Summary

A company is looking for a Senior Associate, Member Services.

Key Responsibilities

• Investigate and resolve escalated cases involving billing errors and eligibility disputes
• Perform root-cause analysis on multi-system issues and coordinate corrective actions
• Act as a liaison between various departments to clarify issues and expedite resolutions

Required Qualifications

• Bachelor's degree in Healthcare Administration, Finance, Business, or related field; or equivalent experience preferred
• 3+ years of relevant experience in medical billing, health benefits, or escalation management
• Proven ability to handle complex billing escalations and a deep understanding of claims lifecycle
• Familiarity with billing systems and issue tracking tools
• Empathy-driven and member-centric approach in handling escalated cases