Member Service Representative

Skaggs Community Hospital Association; Springfield (MO); Presencial; USD 21 000 - 30 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical

Vision

Dental

Retirement with Employer Match

Resumo da oferta

CoxHealth is seeking a dedicated Member Service Representative to support benefit interpretation, claims, authorizations and membership inquiries. The MSR will handle phone and email inquiries from providers, members or brokers, translating healthcare terminology into clear information for end users and documenting interactions in the database.

Responsibilities include assisting multiple lines of business (Medicare, group, and Individual Marketplace) and ensuring accurate, timely responses while

Qualificações

• High School Diploma or equivalent is required.
• Experience in a customer service-focused environment is strongly desired.
• Healthcare/Insurance environment experience is preferred.
• Call center experience is beneficial.

Responsabilidades

• Answer phone or email inquiries from providers, members, customers or brokers regarding coverage, claims, and benefit interpretation.
• Document details of interactions in the database and follow up on action steps.

Conhecimentos

Verbal communication

Written communication

Independent worker

Formação académica

High School Diploma or equivalent

Descrição da oferta de emprego

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

• Named one of Modern Healthcare's Best Places to work five times.
• Named one of America's Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group .
• Acknowledged by Forbes as one of the Best Employers for New Grads.
• Healthcare Innovation's Top Companies to Work for in Healthcare (2025).

Facility

CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807

Department

1752 CHP Member Services

Scheduled Weekly Hours

40

Hours

8am-5pm

Work Shift

Day Shift (United States of America)

Benefits

Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)

For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description

The Member Service Representative (MSR) will support multiple lines of business for benefit interpretation, claims, authorizations and membership inquiries. The MSR's primary focus is to answer phone, or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. This individual will be proficient in multiple lines of business, for example Medicare, group, and Individual Marketplace, translating health care related terminology into effective verbal or written communication for the end user to comprehend. In addition to addressing the caller professionally and properly, the MSR will need to document details of the interaction within the database, including any additional action steps taken as follow up.

Education

• Required: High School Diploma or Equivalent

Experience

• Experience working in a customer service focused industry strongly desired.
• Health Care/Insurance environment preferred.
• Experience working in a call center preferred.

Skills

• Excellent verbal and written communication skills.
• Able to work independently and collaboratively in teams.
• Self starter.

Licensure/Certification/Registration

N/A