Member & Provider Care Specialist

Independent Living Systems, llc; Sacramento (CA); Presencial; USD 42 000 - 56 000; Tempo integral

Resumo da oferta

Independent Living Systems (ILS) is seeking a Member & Provider Services Representative to serve as the primary point of contact for members, providers, and internal teams in our Sacramento facility.

You will handle high-volume inbound and outbound calls, provide accurate information on health services, schedule appointments, and document interactions with care and empathy while following HIPAA and internal policies.

Qualificações

• High School Diploma or GED.
• Proven healthcare or related field experience.
• Ability to manage high volume contact center demands.
• Familiarity with inbound/outbound customer service processes and phone systems.
• Basic clerical experience including accurate data entry and record keeping.
• Ability to work flexible hours to accommodate shifts.
• Strong interpersonal and communication skills with diverse populations.

Responsabilidades

• Demonstrate commitment to Our Mission and ILS Experience Standards of Excellence.
• Handle high-volume inbound/outbound calls with accurate information and empathetic service.
• Use active listening to identify needs, resolve concerns, educate members/providers, and strive for first call resolution.
• Review member/provider inquiries, gather information, document, and facilitate timely resolution.
• Coordinate with internal departments and providers to resolve issues and follow up.
• Manage caseload while meeting productivity, SLAs, regulatory turnaround, and quality standards.
• Document call details and update member records per procedures.
• Ensure compliance with healthcare regulations and confidentiality standards.
• Maintain attendance, schedule adherence, quality, and satisfaction targets.
• Demonstrate professionalism through teamwork, reliability, and ongoing training.
• Perform other duties as assigned.

Conhecimentos

Interpersonal skills

Communication skills

Data entry

Customer service

Phone system knowledge

Flexibility

Formação académica

High School Diploma or GED

Associate's degree

Ferramentas

Microsoft Office Suite

Descrição da oferta de emprego

Independent Living Systems (ILS) is seeking a Member & Provider Services Representative to serve as the primary point of contact for members, providers, and internal teams in our Sacramento facility.

You will handle high-volume inbound and outbound calls, provide accurate information on health services, schedule appointments, and document interactions with care and empathy while following HIPAA and internal policies.