Bilingual Healthcare Member Services Specialist

CareSource Nevada Co.; New York (NY); Presencial; USD 41 000 - 66 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Bonus potential

Resumo da oferta

CareSource in New York, NY seeks a Member Services Representative to handle incoming calls, deliver first-call resolution, and provide information on health plans and benefits. The role includes documenting calls in CaseTrakker, coordinating with care management, and supporting members with appointments and provider connections.

The ideal candidate has a High School diploma or GED, with preferred Associates or Bachelor's degree and 1 year of call center experience.

Qualificações

• Fluency in multiple languages as determined by needs of business.
• Exceptional customer service skills, clear communication, attention to detail, and a strong work ethic.
• Proficiency with computers and common software used in a call center environment.

Responsabilidades

• Answer and handle phone calls and warm transfer when needed.
• Assist members with finding providers and setting up appointments.
• Demonstrate knowledge of eligibility and benefits for all plans.
• Provide information to callers about our Plans.
• Write notes for all incoming calls in CaseTrakker.
• Document care management notes and coordinate with care management team.
• Complete grievances and incident reports.
• Assist members with contacting DME vendors, pharmacy, doctors and other providers as needed to coordinate services.

Conhecimentos

Multilingual fluency

Customer service

Communication skills

Attention to detail

Computer proficiency

Formação académica

High School or GED

Associates or Bachelor's degree preferred

Ferramentas

CaseTrakker

Descrição da oferta de emprego

CareSource in New York, NY seeks a Member Services Representative to handle incoming calls, deliver first-call resolution, and provide information on health plans and benefits. The role includes documenting calls in CaseTrakker, coordinating with care management, and supporting members with appointments and provider connections.

The ideal candidate has a High School diploma or GED, with preferred Associates or Bachelor's degree and 1 year of call center experience.