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Aquent is seeking a highly organized Insurance Support & Benefits Specialist to join our healthcare client's team in Franklin, TN. In this role, you will act as a primary resource for insurance agents and customers, navigating complex inquiries regarding Medicare benefits, prior authorizations, and appeals. This is a high-volume, support-heavy position that requires a mix of technical insurance knowledge, exceptional customer service, and the ability to navigate multiple software systems simultaneously.
Job Responsibility:
Provide expert guidance on healthcare product structures, including Medicare benefits, enrollments, and Low-Income Subsidy (LIS) assistance
Process and document cases related to prior authorizations and insurance appeals with high accuracy and adherence to program guidelines
Manage both inbound and outbound calls professionally, educating agents and customers on self-service tools and program elements
Maintain meticulous records of all contacts, events, and outcomes using internal CRM and case management systems
Consult with internal teams and external program partners to solve problems and enhance the overall service experience
Navigate and instruct users on agent support websites, complete sales orders, and fulfill requests for marketing materials
Requirements:
High School Diploma or GED required (Associate's degree preferred)
1–3 years of professional customer service experience, ideally within the insurance or healthcare industry
Basic computer proficiency (MS Office) and the ability to learn complex case management software quickly
Strong analytical thinking, problem-solving abilities, and the capacity to work with minimal supervision