Member Services Associate, Care Center Representative

MVP Health Care; City of Rochester (NY); Remote; USD 35,000 - 55,000; Full time

Job summary

An innovative healthcare organization is seeking a passionate Member Services Associate to enhance customer experiences. This role focuses on providing exceptional service, addressing member inquiries, and ensuring compliance with industry standards. Join a team that values diverse perspectives and fosters growth opportunities. If you are committed to making a difference in healthcare and enjoy working in a collaborative environment, this position is perfect for you. Embrace the chance to contribute to a healthier future while developing your career in a supportive culture.

Benefits

Growth Opportunities

Competitive Compensation

Comprehensive Benefits

Diverse Culture

Qualifications

• 1-3 years of customer service experience required.
• Strong problem-solving ability with effective communication skills.

Responsibilities

• Provide optimum customer service to maintain member relationships.
• Address inquiries related to enrollment, claims, and benefits.

Skills

Customer Service

Problem-Solving

Communication Skills

Interpersonal Skills

Microsoft Applications

Education

High School Diploma or Equivalent

Job description

Member Services Associate, Care Center Representative

625 State St, Schenectady, NY 12305, USA ● Rochester, NY, USA ● Tarrytown, NY, USA Req #2590

Tuesday, May 6, 2025

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for an Member Services Associate, Care Center Representativeto join #TeamMVP. This is the opportunity for you if you have a passion for healthcare, customer service, and compliance.

What’s in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you’ll bring:

• High School diploma or equivalent when possesses customer service employment experience.
• Minimum 1 – 3 years customer service experience and/or relevant office experience required.
• Must be available to work Monday - Friday from 9:30am- 6:00pm.
• Strong problem-solving ability with effective oral and written communication skills.
• Have strong interpersonal skills and exhibit good judgment.
• Demonstrated excellent customer service skills including superior accountability and follow through.
• Demonstrated PC skills using Microsoft applications.
• Curiosity to foster innovation and pave the way for growth.
• Humility to play as a team.
• Commitment to being the difference for our customers in every interaction.

Your key responsibilities:

• The Member Services Associate, Care Center Representative is responsible for providing optimum customer service as required to maintain existing member relationships and prevent cancellations.
• Addresses member, internal and external customer inquiries, questions and concerns in areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care across a variety of insurance types.
• Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate.
• Responds promptly, accurately, and effectively to all calls in a polite and professional manner.
• Responds to all calls timely and have a clear understanding of call avoidance, such as but not limited to short calls, intentional disconnects, inappropriate transfers and inappropriate use of hold button.
• Performs data input in a highly accurate and timely manner on all customer contacts.
• Simultaneously accesses multiple databases while addressing customer’s needs.
• Clearly explains all policies and procedures on both incoming and out-going calls. On an ongoing basis, educates members about their benefits and MVP’s procedures.
• Delivers information in a clear and confident manner.
• Develops a comprehensive understanding of all lines of business. Has the technical skills required to be able to perform task efficiently.
• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you’ll be:

Location: Virtual. Please note all candidates must be located in New York State within a 40- mile radius from the Schenectady, NY; Rochester, NY; Tarrytown, NY

#CS

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [e-mail] .

• 625 State St, Schenectady, NY 12305, USA