Support Services Specialist

Yuzu

. Answer inbound calls from members and providers professionally and courteously .

Posted 11/1/2026full-timeRemote • United StatesMid-LevelSenior💰 $48,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health insurance plan designs, including Reference-Based Pricing and Direct Primary Care, while maintaining compliance with HIPAA and CMS guidelines. Excels in delivering exceptional customer service through effective communication, problem-solving, and a team-oriented approach.

Highest-signal resume keywords

Health Insurance Plan Design ExperienceHIPAA ComplianceStrong Communication SkillsProblem-Solving SkillsBilingual Skills (Spanish)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reference-Based PricingCash Payment ModelsDirect Primary CareClaims Status KnowledgeEligibility Verification

Soft Skills

EmpathyActive ListeningAttention to DetailDependabilityTeam-Oriented Mindset

Tools & Technologies

Digital Tools for Member Education

Industry Keywords

HIPAA GuidelinesCMS GuidelinesManaged CareCustomer Satisfaction Metrics

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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