Member Service Representative

About the role

This position will report to the Manager of Member and Provider Services, playing a unique and important role in our mission to change healthcare for the better.

Responsibilities

• Verify member information while addressing general questions.
• Responds to and resolves all issues/inquires to assure an efficient and seamless member experience.
• Maintains open channels of member communications doing outreach as required.
• Maintains accuracy of information gathered and shared on a member’s behalf.
• Elevates issues to next level of supervision, as appropriate.
• Maintains accurate documents, including timekeeping records.
• Attends all required training classes, demonstrating proficiency and ability to learn.
• Works remotely – this includes reliability, self-motivation, focus & time management skills.

Qualifications

• MINIMUM QUALIFICATIONS: High School diploma/GED, Two (2) years of customer service experience in a call center environment.
• PREFERRED QUALIFICATIONS: Associate Degree, or greater, in related healthcare field, Two plus years’ experience in a fast-paced call environment with processing and/or customer service experience.

Skills

• Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
• Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette.
• Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction.
• Familiarity with Medical insurance services process.
• Exceptional attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.