Member Service Representative

CoxHealth; Springfield (MO); Presencial; USD 42 000 - 52 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Vision insurance

Dental insurance

Retirement with Employer Match

Resumo da oferta

CoxHealth is seeking a Member Service Representative to support multiple lines of business including Medicare, group, and Individual Marketplace. The role emphasizes interpreting benefits, processing inquiries about coverage and claims, and documenting interactions for follow-up. Strong communication and teamwork are essential.

Training and benefits are provided. Applicants should have a High School Diploma or equivalent and experience in customer service or healthcare settings.

Qualificações

• High School Diploma or equivalent required.
• Experience in a customer service focused environment strongly desired.
• Experience in a call center preferred.

Responsabilidades

• Answer phone or email inquiries from members, providers, customers or brokers regarding coverage, claims, billing and/or authorizations.
• Document details of interactions and follow-up steps in the database.
• Translate health care terminology into clear verbal or written communication for end users.

Conhecimentos

Verbal communication

Written communication

Customer service

Team collaboration

Self-starter

Formação académica

High School Diploma or equivalent

Descrição da oferta de emprego

Facility:CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807Department:1752 CHP Member ServicesScheduled Weekly Hours:40Hours:8am-5pmWork Shift:Day Shift (United States of America)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).BenefitsMedical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)For a comprehensive list of benefits, please click here: Benefits | CoxHealthJob 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