Health Plan Member Support Specialist

The Health Plan (THP); Charleston (WV); On-site; USD 21,000 - 30,000; Full time

Job summary

The Health Plan in Charleston, WV is seeking a Customer Service Representative who answers member and provider questions promptly and accurately. The role emphasizes timely correspondence and reporting within the Customer Service Department.

Responsibilities include handling 40–60 calls daily, using required applications proficiently, and maintaining a high accuracy score on performance metrics. Strong communication and health-system knowledge are essential.

Qualifications

• High School Graduate: prefer 1-2 years college with interest or concentration in health field.
• Strong ability to relate with a variety of people in a non-judgmental manner.
• Strong organizational, verbal and written communication skills.
• Possess some knowledge of the health care system.
• Personal Computer (PC) and Keyboard skills.
• Proper usage of the English Language.
• Courteous manner/even temperament.
• Excellent communication skills.

Responsibilities

• Takes an average of 40-60 calls daily.
• Has established adequate proficiency in using the application necessary to perform the functions of a Customer Service Representative.
• Maintains monthly monitoring score of 90% accuracy or above on the 17 Points of Excellence.
• Demonstrates a complete understanding of departmental policies and procedures.
• Able to perform assigned tasks with minimal supervision.
• Meets requirements on annual performance evaluation.
• Consistently displays a positive attitude and acceptable attendance.
• Increasing improvement in performance and job knowledge.
• Documents calls according to departmental guidelines.

Skills

People skills

Verbal communication

Written communication

Health care knowledge

PC skills

English proficiency

Courteous demeanor

Excellent communication

Education

High School Diploma

1–2 years college in health field

Job description

The Health Plan in Charleston, WV is seeking a Customer Service Representative who answers member and provider questions promptly and accurately. The role emphasizes timely correspondence and reporting within the Customer Service Department.

Responsibilities include handling 40–60 calls daily, using required applications proficiently, and maintaining a high accuracy score on performance metrics. Strong communication and health-system knowledge are essential.