Talent.com
Member Care and Provider Specialist/Customer Service (Healthcare)
Member Care and Provider Specialist/Customer Service (Healthcare)Centivo • Buffalo, NY, US
serp_jobs.error_messages.no_longer_accepting
Member Care and Provider Specialist / Customer Service (Healthcare)

Member Care and Provider Specialist / Customer Service (Healthcare)

Centivo • Buffalo, NY, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Member Care / Provider Specialists

We exist for workers and their employers who are the backbone of our economy. That is where Centivo comes in our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Centivo is seeking Member Care / Provider Specialists to join our dynamic team. As a Member Care / Provider Specialist, you'll be a vital part of that mission, serving as a trusted guide and problem-solver for our members and provider partners. If you're driven by purpose, love helping others, and thrive in a fast-paced environment, we want to hear from you.

Our next paid training program kicks off in June 2025, so now is the perfect time to apply!

What you'll love about this role :

  • Supporting members and healthcare providers with inquiries
  • Solving complex problems with care, empathy, and resourcefulness
  • Educating members and healthcare providers on benefits and navigation of our site and applications.
  • Being part of a team that's disrupting the traditional healthcare model in the best possible way

What you'll be doing :

  • Answer incoming calls from members and providers with questions about benefits, eligibility, and claims
  • Research and resolve complex issues using our tools, documentation, and outbound calls
  • Educate members and providers on how to navigate our platform, benefits, and resources
  • Accurately document every interaction and follow established procedures
  • Calmly de-escalate concerns and handle first-level complaints with empathy
  • Support appeals processes and ensure timely follow-up actions are taken
  • Qualifications :

    Required Skills and Abilities :

  • Familiarity with the Microsoft operating system and its suite of applications (Outlook, Word, Excel)
  • Ability to communicate professionally, both written and verbal
  • Solid attention to detail and problem-solving abilities
  • A calm, professional demeanor when handling calls
  • Education and Experience :

  • A high school diploma or GED
  • 12 years of experience in a provider office and / or fast-paced call center environment
  • Preferred Qualifications :

  • At least 1 year of hands-on experience in healthcare, health insurance, or a related field, with a strong understanding of medical or provider office operations
  • Bilingual (Spanish / English preferred)
  • Location :

    This role is located in our downtown Buffalo, NY office.

    Centivo Values :

  • Resilient This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don't give up.
  • Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.
  • Positive We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive.
  • Who we are :

    Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies.

    Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.

    serp_jobs.job_alerts.create_a_job

    Care Provider • Buffalo, NY, US

    Job_description.internal_linking.related_jobs
    Donation Center Associate

    Donation Center Associate

    TradeJobsWorkforce • 14223 Tonawanda, NY, US
    serp_jobs.job_card.full_time
    Now hiring a Donation Center Associate, where you will respond to questions by phone, email, or in-person, assist with packaging, labeling, and preparing items for delivery, and manage simple recor...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Steuben County REMC Member Service Representative

    Steuben County REMC Member Service Representative

    Wabash Valley Power Alliance • Angola, New York, USA
    serp_jobs.job_card.full_time
    Steuben County REMC is seeking a friendly motivated and highly organized individual to fill a .Member Service Representative position. Administrative duties including member service cash b...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Call Center Representative Agent Work From Home - Part Time Focus Group Panelists

    Call Center Representative Agent Work From Home - Part Time Focus Group Panelists

    ApexFocusGroup • Niagara-on-the-Lake, Ontario, Canada
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    Now accepting applicants for Focus Group studies.Earn up to $850 per week part-time working from home.Must register to see if you qualify. No Call Center Representative Agent experience needed.Call ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Customer Care Representative

    Customer Care Representative

    Morphius Corp • Buffalo, NY, US
    serp_jobs.job_card.full_time
    We are seeking employees to join our company in working remotely across California.Due to COVID-19 we have been able to restructure our day to day work and now can be done remotely.We work in conju...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Customer Service Representatives

    Customer Service Representatives

    Pizza Hut • Buffalo, NY, US
    serp_jobs.job_card.full_time
    Customer Service Representatives.Gather round the good stuff with a career at Pizza Hut; because this is a place where great people are in great company. We have fun, and we offer personal challenge...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    GreenDrop Customer Service Attendant - Floater

    GreenDrop Customer Service Attendant - Floater

    Savers Value Village • Buffalo, NY, US
    serp_jobs.job_card.full_time
    GreenDrop is rapidly expanding to make donating lightly used clothing and household items easy, convenient, and eco-friendly. By partnering with nonprofit organizations, we redirect millions of poun...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    CVS Health Careers in Buffalo, NY

    CVS Health Careers in Buffalo, NY

    CVS • Buffalo, NY, USA
    serp_jobs.job_card.full_time
    CVS is hiring for retail, pharmacy, customer service, and management positions.Competitive wages with comprehensive benefits and employee discounts. Flexible scheduling with opportunities for career...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Care Technician

    Patient Care Technician

    Pride Health • Buffalo, NY, US
    serp_jobs.job_card.full_time
    Patient Care Technician (PCT) – Behavioral Health Unit.Patient Care Technicians (PCTs).The ideal candidate will have experience supporting individuals with mental health needs and will bring ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Team Member-MAIN AND NORTH-W512

    Team Member-MAIN AND NORTH-W512

    Wendy's • Buffalo, NY, United States
    serp_jobs.job_card.full_time +1
    As a Crew Member at Wendy’s, you’re part of the family from Day 1.Wendy's is a fast-paced, high-energy environment where everyone on the team works hard and works together to satisfy our customers....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Patient Services Representative - Behavioral Health

    Patient Services Representative - Behavioral Health

    Evergreen Health • Buffalo, NY, US
    serp_jobs.job_card.full_time
    Patient Services Representative.At Evergreen, we value collaborative, down-to-earth individuals and encourage self-expression. We recognize that our diverse workforce allows us to provide culturally...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Scheduler Rehab Home Care MSHC

    Scheduler Rehab Home Care MSHC

    Catholic Health System • Buffalo, NY, United States
    serp_jobs.job_card.full_time
    Facility : Administrative Regional Training Cntr.Bargaining Unit : ACE Associates.Exempt from Overtime : Exempt : No.Work Schedule : Days with Call Weekend and Holiday Rotation.The scheduler is responsi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Seasonal Fulfillment and Receiving Support Associate, Boulevard

    Seasonal Fulfillment and Receiving Support Associate, Boulevard

    Macy's • Buffalo, NY, US
    serp_jobs.job_card.full_time
    Macy's is more than just a store.One that's captured the hearts and minds of America for more than 160 years.A story about innovations and traditionsabout inspiring stores and irresistible products...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN - IMCU

    RN - IMCU

    Providence Health and Services • Buffalo, NY, United States
    serp_jobs.job_card.full_time
    RN - Intermediate Care Unit (IMCU) at Providence St.FTE, night shift openings (7pm-7 : 30am, 3, 12 hour shifts per week) with rotating weekends and holidays. Night shift differential - $10 p / hr.Weeken...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Health Specialist (Temporary and Remote)

    Health Specialist (Temporary and Remote)

    MAXIMUS • Buffalo, NY, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Maximus is looking to fill a limited service (Temp) Health Specialist position.The Health Specialist role is to provide advanced and accurate clinical inquiry responses to health related, disease c...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Patient Service Specialist-Orthopedics-Full Time

    Patient Service Specialist-Orthopedics-Full Time

    Guthrie • Buffalo, NY, US
    serp_jobs.job_card.full_time
    The Patient Service Specialist provides direct, daily operational front office support.The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Customer Support Specialist (Buffalo)

    Customer Support Specialist (Buffalo)

    Corps Team • Buffalo, NY, United States
    serp_jobs.job_card.temporary
    Our client, a water technology provider, is seeking a Customer Service Representative for a 6+ month contract opportunity located in Cheektowaga, NY. Serve as a liaison between customers and interna...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    COMMUNITY APARTMENT AIDE

    COMMUNITY APARTMENT AIDE

    People Inc • Buffalo, NY, United States
    serp_jobs.job_card.full_time
    ESSENTIAL FUNCTIONS / RESPONSIBILITIES.Provides support and instruction to tenants in areas chosen by the tenant population including financial literacy, computer skills, healthy meals and snacks, ki...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Retail Service Specialist

    Retail Service Specialist

    O'Reilly Automotive • Tonawanda, NY, US
    serp_jobs.job_card.full_time
    The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.Additional compensation includes annual, quarterly performance, or premiums may be paid in amoun...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted