Member Care Specialist

About the role

Join Centivo as a Member Care Specialist, providing essential support to members and healthcare providers. This role involves resolving complex issues and educating individuals on benefits and platform navigation. You will be a key part of a team dedicated to improving the healthcare experience.

Key facts

What you'll do

• Respond to incoming calls from members and providers regarding benefits, eligibility, and claims.
• Investigate and resolve intricate issues using internal resources and external communication.
• Inform members and providers about platform usage, benefits, and available support.
• Document all interactions accurately and adhere to established procedures.
• Manage and de-escalate first-level complaints with professionalism.
• Assist with appeals processes and ensure timely completion of follow-up tasks.

Requirements

• High school diploma or GED.
• 1-2 years of experience in a healthcare setting, provider office, or a fast-paced call center.
• Strong written and verbal communication abilities.
• Excellent attention to detail and problem-solving skills.
• Ability to maintain composure and a customer-focused approach during calls.

Nice to have

• At least 1 year of direct experience in healthcare or health insurance, with knowledge of medical terminology or provider office operations.
• Bilingual proficiency in Spanish and English.

Skills & tools

• Microsoft Office applications (Outlook, Word, Excel).

Practical notes

• The next paid training program begins Monday, October 12, 2026.