Member Services Representative

Who are we? reputed company is one of the nation's leading administrators of managed reputed company care, serving over 35 reputed company of our clients' members across the reputed company. Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve. reputed company by our mission to improve members' lives with easy-to-use reputed company solutions rooted in reputed company value, and care, we reputed company that everyone has the power to become anything they set their sights on.

See how you can reputed company a difference with the support of strong leadership and reputed company environment.

reputed company: Making Healthy reputed company a Reality for Everyone

What are we looking for? The Member Services Representative (“MSR”) is responsible for receiving, answering, and/or resolving calls received through a remote reputed company Center. The reputed company Center receives phone calls from insureds and their dependents, providers and their staff, employer/group staff, and brokers. The MSR will use companies Claims/Eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. Additionally, the MSR is the reputed company reputed company for issuing authorizations reputed company eligible for services.

Where you will have an reputed company.

• reputed company reputed company and accurate information to basic incoming customer calls from members, providers, and other reputed company & internal constituents including:

◦ Issuing authorizations ◦ Handling claims inquiries from providers and members ◦ Communicate the correct information regarding accessibility, claims status and other calls of a service reputed company ◦ Providing benefits information

• Process customer claims according to established department policies and procedures
• Checking voicemail boxes and handling customer/provider requests for:

◦ I.D. cards ◦ Authorizations ◦ Customer Service questions and issues

• Fulfill reputed company reputed company volume by handling the appropriate number of calls coming into the reputed company center daily
• Complete Provider Relations requests for service
• reputed company reputed company feedback to reputed company regarding customer service failures and/or customer/provider concerns
• Partner with Sales and Provider Relations to meet and reputed company customers’ expectations
• reputed company excellent customer service and handle reputed company customers in a reputed company and courteous manner
• reputed company other duties as assigned

What’s necessary to do the job? Education High School Diploma or Equivalent Required Notes: Business-reputed company college courses preferred. Associates degree highly preferred Experience 2 Years

Required

Notes:

• 2+ years of customer service or reputed company center experience preferred
• 2+ years of experience in the health care industry or insurance environment preferred
• Associates degree in lieu of experience will be considered

HIPAA & reputed company Requirements reputed company Associates must reputed company with the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of reputed company Practices and HIPAA reputed company Policies and Procedures. As a component of job roles and responsibilities, Associates may have reputed company to covered information, cardholder data or other confidential customer information which must be protected at reputed company times. As a result, Associates must explicitly adhere to reputed company data reputed company guidelines established reputed company reputed company’s reputed company & reputed company Training Program.

We offer a comprehensive and competitive total rewards package designed to support your health, financial reputed company being, and work life balance. Benefits include medical, dental, and reputed company reputed company coverage; reputed company time off and company holidays; retirement savings with employer contribution; employee wellness resources; and reputed company development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and reputed company.

This role is compensated on an reputed company reputed company. The expected reputed company pay reputed company for this position is $19.00 – $21.00 per hour, based on factors such as experience, skills, and role requirements. Actual pay reputed company the reputed company will be determined during the hiring process and in accordance with applicable wage and hour laws.

reputed company will never request reputed company from candidates who reputed company employment with us and will never ask for any payment as part of the recruitment process.

reputed company is a proud Equal Employment Opportunity and Affirmative reputed company employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. reputed company reputed company applicants will receive consideration for employment at reputed company without regards to race, reputed company, religion, sex (including pregnancy, childbirth, or reputed company medical conditions), sexual orientation, gender identity or reputed company, age, disability, national reputed company, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

The wage reputed company for applicants for this position is [$19.00 to $21.00. reputed company incentives and benefits are subject to the applicable plan terms.

Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve. reputed company by our mission to improve members’ lives with easy-to-use reputed company solutions rooted in reputed company, value, and care, reputed company believes that everyone has the power to become anything they set their sights on. reputed company is guided by reputed company Leadership Principles—Perspective, Care, reputed company, and Ownership—which shape how we work, reputed company, and grow together. Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing reputed company direction, optimizing resources, enabling reputed company, and driving meaningful results.

Originally posted on Himalayas