Member Services Representative

Metropolitan Jewish Health System, Inc.; Buxton (ND); On-site; USD 30,000 - 50,000; Full time

Job summary

An established industry player in healthcare is seeking dedicated call center representatives to enhance member services. This role involves responding to inquiries, managing complaints, and ensuring high-quality customer service in a fast-paced environment. Candidates should possess strong communication skills and multitasking abilities. Join a team that values independence and quality care for its members, contributing to a vital mission in the healthcare sector.

Qualifications

• High School Diploma required; call center experience preferred.
• Strong telephone communication skills and professional demeanor.

Responsibilities

• Respond to member and provider inquiries in a call center environment.
• Handle complaints and grievances effectively.

Skills

Customer Service

Telephone Communication

Multitasking

Education

High School Diploma

Tools

Microsoft Word

Job description

Job Description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Responsibilities:

• Respond to member and provider inquiries and requests concerning benefits, claims, and complaints within a call center environment to ensure high-quality customer service.
• Handle calls from members and providers, responding to complaints and grievances.
• Record all calls and details accurately.
• Process requests for adjustments on claim issues and requests for disenrollment.

Minimum Qualifications:

• High School Diploma
• Minimum 6 months call center experience
• Proficiency in Microsoft Word
• Excellent telephone communication skills and a professional demeanor
• Ability to manage multiple tasks and work effectively in a fast-paced environment