Member & Provider Care Specialist (Health Insurance)

Location: Remote; must reside in Arizona, Florida, Georgia, or Texas

Salary: $22.00 per hour

Company

hirify.global is a health insurance company built around a full-stack technology platform and a member-focused care experience.

What you will do

• Handle inbound and outbound calls, secure messages, and email communications with members and providers.
• Manage assigned queues and caseloads through dashboard workflows.
• Investigate and resolve member and provider issues within defined SLAs.
• Collaborate with colleagues, experts, and leads to identify trends and remove roadblocks.
• Communicate findings and resolutions to providers and internal departments.
• Support representatives with complex issues, workflow guidance, training, and knowledge-management updates.

Requirements

• Must reside in Arizona, Florida, Georgia, or Texas.
• At least 1 year of experience in customer support, healthcare, technology, or a related field.
• At least 6 months of member or customer service experience.
• At least 1 year of escalations experience in a customer service environment.
• Experience working in a fast-paced environment.
• Ability to comply with applicable laws and regulations.

Nice to have

• At least 1 year of claims experience.
• Bilingual Spanish communication skills.

Culture & Benefits

• Remote work within the specified states.
• Employee medical, dental, and vision benefits.
• Vacation accrual at 15 days per year and paid holidays.
• Paid sick time, parental leave, wellness time, and reimbursements.
• 401(k) participation, life insurance, and disability insurance.