Hennepin Health Member Services Representative

Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus.

About the role

This is a full-time, benefit-earning position internally classified as an HH Service Representative. In this role, you will:

• Relay information to Hennepin Health members about health plan policies and procedures.
• Respond to member inquiries regarding their benefits, claim inquiries, and balance due statements from providers.
• Access the provider network, medical authorization requirements, and review the navigation and scheduling of transportation services for health plan members.

Responsibilities

• Provide customer service in a call center setting.
• Navigate health care systems and perform data entry.
• Use medical billing/coding systems such as Health Care Financing Administration Common Procedure Coding System or International Classification of Diseases (ICD-9).
• Demonstrate patience, compassion, and empathy while addressing member needs.
• Maintain confidentiality and adhere to data privacy practices and regulations.

Requirements

To qualify, you must have:

• Six months or more of experience in a Health Maintenance Organization (HMO) or managed care setting, providing customer service within a call center environment, and/or enrollment services experience.

Preferred Qualifications

• Two or more years of experience using call center telephone systems.
• Experience working with Medical Assistance, Minnesota Care, and Special Needs Basic Care products and their respective benefit sets.
• Knowledge of managed care organizations, health plan requirements, industry best practices, mandates, statutes, and regulations.
• Ability to multi-task, including understanding multiple product lines of business and multiple levels of benefits within each product.
• Strong interpersonal and verbal communication skills, including telephone etiquette.
• Basic research and analytical skills, along with good organization and planning abilities.

Skills

• Ability to navigate and type on a computer while on the phone.
• Proficiency in navigating multiple system applications.
• Demonstrated time management skills.

Location and Schedule

This hybrid position requires on-site work at the Health Services Building, 525 Portland Avenue South, Minneapolis, MN 55415, and remote work as job duties require. Work hours are Monday through Friday, 8 a.m. – 4:30 p.m. Hires must reside in or relocate to Minnesota or Wisconsin. New Employee Orientation (NEO) is in-person in downtown Minneapolis.

About the Department

Hennepin Health provides health care coverage to Hennepin County residents enrolled in a Minnesota Health Care Program. As a nonprofit, state-certified health maintenance organization, Hennepin Health contracts with the Minnesota Department of Human Services. Our vision is to lead in partnering with members and communities to improve health by integrating health care and services to enhance well-being.

About Hennepin County

Hennepin is the largest county government organization in Minnesota. Our employees work to improve the health, safety, and quality of life for residents through transformative services that eliminate disparities, inequities, and create opportunities. We offer competitive pay, work-life balance, a variety of benefits, and opportunities for growth. Learn more at The Bridge.