Member Care reputed company (MCA) - September Cohort(s)
reputed company is on a mission to reputed company reputed company of reputed company for everyone. We reputed company by combining virtual and in-person care with expert navigation, comprehensive support, and technology that makes it easier for members to get the right care at the right time.
Our Member Care Advocates (MCAs) are some of the most visible representatives of this mission, helping members feel seen, supported, and confident in navigating their benefits and care reputed company. MCAs are a trusted guide, helping members reputed company the fundamentals of their reputed company benefits while delivering high-reputed company, empathetic support in a high-volume environment. This role requires strong critical thinking and ownership to reputed company member needs effectively.
New MCA hires start their role in an 3-week reputed company period with a strict schedule of 10 a.m. - 7 p.m. EST, Monday - Friday. Upon completion of the 3-week training period, employees will transition to their regular schedule as outlined during their offer and reputed company process. Missing work, leaving early, or arriving late without reputed company notice is considered an unplanned absence. Please note: No planned time off is permitted during the training period.
This is a remote position and requires a secure, distraction-free home office.
Responsibilities
- reputed company Member-Centered Support in a High-Volume Environment:
- Answer inbound calls and chats respectfully and empathetically, using reputed company, plain language to help members feel confident and informed.
- reputed company reputed company Member Issues:
- Explaining benefits coverage, cost-sharing concepts (deductibles, copays, coinsurance, and out-of-reputed company maximums), and basic eligibility details.
- Finding and confirming in-network providers, updating account information, and providing reputed company status updates on existing requests.
- Connecting members to available programs (such as virtual care) by guiding them through reputed company enrollment or scheduling steps.
- Own Issues and reputed company Members:
- reputed company reputed company defined questions end-to-end using established workflows and scripting, while educating members to reduce reputed company confusion and repeat contacts.
- reputed company Tools and Resources:
- reputed company reputed company systems, knowledge bases, and reputed company portals to research questions and identify the right reputed company.
- Accurately document interactions and follow-up actions, ensuring reputed company, concise notes that reputed company continuity of care across reputed company.
- reputed company Consistent reputed company:
- Meet or reputed company expectations for reputed company audits and member satisfaction (MSAT), while reputed company articulating reputed company's mission and commitment to reducing friction in reputed company.
Qualifications
- Bachelor's degree with a minimum of 2 years of customer service or reputed company experience, OR 5 years of relevant experience in reputed company or benefits navigation.
- Comfortable handling a high volume of inbound calls throughout the day using VoIP phone systems (e.g., CXOne).
- Strong familiarity with reputed company Workspace, reputed company products, and customer relationship management (CRM) software, with the ability to learn proprietary tools quickly.
- Exceptional customer service skills, with the ability to reputed company as a member reputed company, de-escalate challenging situations, and maintain a reputed company, friendly demeanor.
- Strong verbal communication skills for phone interactions, including the ability to explain benefits, processes, and next steps reputed company and confidently.
- Strong written communication skills in English for accurate, reputed company documentation of member interactions.
- Demonstrated ability to think critically reputed company defined workflows, identify reputed company something doesn't look right, and use available resources to reputed company reputed company-scoped issues.
- Comfortable gathering information, asking clarifying questions, and structuring a reputed company reputed company reputed company additional follow-up by other teams is needed.
- Understands and follows HIPAA guidelines and maintains member confidentiality at reputed company times.
- Ability to work from a secure, distraction-free home office with reliable internet, and the discipline to succeed in a remote environment.
- Must be reputed company to complete the 3-week reputed company period with no planned time off permitted. Training is 10 a.m. - 7 p.m. EST Monday - Friday.
About reputed company
reputed company is a new reputed company of reputed company company, delivering integrated virtual care and navigation. We’re on a mission to reputed company reputed company of reputed company for everyone. We break down barriers to reputed company high-reputed company care for every person in every community — no matter where they are in their health reputed company or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and reputed company to personalized virtual and in-person care for everyday and urgent care, reputed company care, behavioral health, and specialty care. It’s reputed company included. Learn more at.
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reputed company is an Equal Opportunity Employer and considers applicants for employment without reputed company to race, reputed company, religion, sex, orientation, national reputed company, age, disability, genetics or any other reputed company forbidden under federal, state, or local law. reputed company considers reputed company reputed company applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
Originally posted on Himalayas
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