SmartPay Support Specialist - Internal

In this role, you will help our members find the best care at the best price!

When a member is approved for a high-cost procedure, our Smart Pay team provides concierge level support, so they fully understand the cost associated with different providers and/or facilities and help them navigate the complexities associated with scheduling and paying for their procedure.

This is a great opportunity to expand your knowledge of our product offerings and the healthcare industry, while developing new skills that support your career growth.

• Assist members in understanding and enrolling in the Smart Pay program, ensuring they are aware of cost-saving opportunities, and eligibility requirements
• Provide transparent cost estimates by utilizing internal tools, to help members compare pricing across facilities and make informed decisions.
• Coordinate with medical providers and facilities to verify Smart Pay eligibility, confirm procedure availability, and ensure the member’s medical documentation, orders and/or authorizations are properly transferred when changing facilities.
• Proactively manage member cases, including making follow-up calls, documenting progress in various systems, and assisting with procedure scheduling when requested.
• Collaborate with internal teams to monitor shared savings opportunities, confirm competitive pricing, and maintain a high level of service accuracy and efficiency.

• 6+ months in your current role
• High level of autonomy, self-governance, and detail orientation
• Extensive knowledge of Motiv Health’s current member service process and systems
• Firm understanding of proper grammar and punctuation (you will often be communicating with our members via our online texting platform or emails)
• Comfortable answering complex member questions and making outbound calls to facilities/providers to gather pricing
• Ability to learn new processes, digest information quickly, and can properly manage 20+ member cases