Healthcare Member Support Specialist

CareSource Management Services LLC; New York (NY); Presencial; USD 41 000 - 66 000; Tempo integral

Resumo da oferta

CareSource is seeking a Member Services Representative to handle incoming calls on the 1-800 numbers and provide first-call resolution. You will assist members with finding providers, setting up appointments, and explaining plan eligibility and benefits.

Documentation of calls and collaboration with the care management team are essential parts of the role. The role requires high school or GED, with preferred associates or bachelor's degree, and at least one year in a call center or healthcare

Qualificações

• Fluency in multiple languages required as per business needs.
• Excellent customer service and communication skills essential.
• Strong attention to detail and reliable work ethic.

Responsabilidades

• Answer inbound calls and perform warm transfers when needed.
• Assist members with finding providers and setting up appointments.
• Explain eligibility and benefits for all plans; document care notes.
• Coordinate with care management and assist with calling providers as required.
• Complete grievances and incident reports as necessary.

Conhecimentos

Multilingual fluency

Customer service

Communication skills

Attention to detail

Computer proficiency

Formação académica

High School or GED

Associates or Bachelor's degree preferred

Descrição da oferta de emprego

CareSource is seeking a Member Services Representative to handle incoming calls on the 1-800 numbers and provide first-call resolution. You will assist members with finding providers, setting up appointments, and explaining plan eligibility and benefits.

Documentation of calls and collaboration with the care management team are essential parts of the role. The role requires high school or GED, with preferred associates or bachelor's degree, and at least one year in a call center or healthcare