Strategic Staffing Solutions International
Membership Operations Specialist
Strategic Staffing Solutions International
Strategic Staffing Solutions International

Membership Operations Specialist

Strategic Staffing Solutions International

About the role:

As a Membership Operations Specialist, you will play a crucial role in the accurate and timely processing of health insurance claims, contract maintenance, billing updates, and communicating by phone with customers. The role involves working in compliance with Medicare guidelines, CCI coding practices, and utilizing various tools such as ICD10-data, Optum, and CMS.gov.


  • Perform routine to medium complex contract maintenance and billing updates.
  • Process and clear transactions/write-offs and output reports.
  • Identify and handle processing problems using critical thinking skills.
  • Respond appropriately and timely to telephone and written inquiries.
  • Update and backdate paid-through and/or paid-to date information.
  • Meet established Quality and Productivity Standards.
  • Accurate self-reporting of daily activities.


  • Higher education.
  • Proficient in English language, both written and verbal (at least B2 level).
  • Good communication skills.
  • Basic math skills for calculating payments and adjustments.
  • Analytical skills and attention to detail. 
  • Previous claims processing experience is an advantage.
  • Ability to work USA shifts permanently: 03:00 PM - 00:00 AM

We offer:

  • Salary: 1100 EUR NET
  • Trainings: we recognize the potential in our entry-level and junior team members. That's why we offer robust training programs to provide you with the skills and knowledge needed to kickstart your career and achieve your professional goals.
  • Professional Growth: We believe in the growth and development of our employees. You'll have access to ongoing training and opportunities for career advancement.
  • Work-Life Balance: We value work-life balance and offer flexible work arrangements when possible.
  • Inclusive Culture: We embrace diversity and are committed to creating an inclusive workplace where all employees can thrive.
  • Collaborative Team: Join a dynamic team of professionals who are passionate about what they do.
  • Impactful Work: Be part of a company that makes a meaningful impact in the field of medicine.
Mėnesinis bruto atlyginimasBruto/mėn.  € 1736


    Kaunas, Kauno apskritis, Lietuva


  • Visa darbo diena, pamainomis


  •  Anglų
Kontaktinis asmuo
Strategic Staffing Solutions International -
Your international IT resource of choice! Strategic Staffing Solutions International provides professional Information Technology staff and solutions in the Baltics, Nordics, the United Kingdom and United States.

Įmonės tinklalapishttp://www.strategicstaff.com

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