Member Service Representative
Irving, Texas
2 Years
USD 21 hourly
Job description:
This position is to provide service and support to our managed care customers through verbal or written communication.
This position acts as the primary liaison both telephonic and in-person between all members and the plan.
Responsibilities:
- Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner.
- Records all contact with customers, both verbal & written in the current MIS system.
- Required to assist in training/re-training new and current employees.
- Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes.
- Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions.
- Triage phone request to other areas such as Utilization Management and Provider Relations.
- Handles incoming written correspondence in a timely and professional manner.
- Must have excellent understanding of benefits, products, & other health care and/or insurance issues as they pertain to our customers (internal/external).
- Excellent communication and knowledge of MIS system.
Requirements:
1-2 Years experience
HS Diploma
email resume to:
updatedremotejobs@workfromhomejobs.uno
