Support Services Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $48k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Yuzu

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2022

🏥 Healthcare

🛡️ Insurance

☁️ SaaS

Healthcare • Insurance • SaaS

Yuzu is a technology platform that lets organizations design, launch, and operate custom health plans and modernize third-party administrator (TPA) workflows. It provides a Benefits Builder to configure tiers, accumulators, and benefits; integrations with PBMs, stop-loss carriers, and other vendors; automated document generation and e-signature; web-based portals for employers, members, and vendors; in-house claims adjudication and payment infrastructure with real-time auto-ledgering; and reporting and support tools. Yuzu emphasizes white-labeling so customers can present fully branded plans and handles end-to-end plan operations from onboarding to live plan management.

📋 Description

• Answer inbound calls from members and providers professionally and courteously • Provide accurate information regarding benefits, eligibility, claims status, authorizations, and network participation • Research and resolve complex inquiries by collaborating with internal departments • Educate members and providers on plan policies, digital tools, and available resources • Escalate issues as appropriate to ensure timely resolution • Maintain confidentiality and adhere to HIPAA guidelines • Meet or exceed performance metrics related to call quality, timeliness, and customer satisfaction • Help evolve and strengthen the Support team as it scales • Serve as the first point of contact for members and healthcare providers, delivering phone-based support

🎯 Requirements

• Experience with innovative health insurance plan designs, including Reference-Based Pricing (RBP), cash payment models, and employer-sponsored Direct Primary Care • Familiarity with HIPAA, CMS, or managed care guidelines • Empathy and active listening • Strong commitment to accuracy and attention to detail • Ability to prioritize workload effectively in a fast-paced environment • Strong communication skills • Problem-solving and critical thinking • Dependability and accountability • Team-oriented mindset • Bilingual skills, especially Spanish, are a plus • Ability to work Monday–Friday, 9am–6pm EST • Must answer whether sponsorship will be required to work in the United States

🏖️ Benefits

• Equity opportunities • Health benefits • 401K with Employer matching • Career growth and development opportunities • Remote capabilities • High-trust team with radically high transparency and autonomy

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