Member Services Representative

Metropolitan Jewish Health System; New York (NY); On-site; USD 35,000 - 45,000; Full time

Job summary

Metropolitan Jewish Health System in New York is looking for a Call Center Representative to provide support to members and providers by responding to inquiries regarding benefits and claims. The ideal candidate will have a High School Diploma and at least 6 months of call center experience, with excellent communication skills and the ability to handle multiple tasks efficiently. This position is essential for ensuring high-quality customer service in a fast-paced environment.

Qualifications

• High School Diploma required.
• Minimum 6 months of call center experience.
• Excellent skills in telephone communication and a professional demeanor.

Responsibilities

• Respond to member and provider inquiries in a call center environment.
• Record all calls and details regarding requests and complaints.
• Manage claim issues and adjust requests.

Skills

Telephone communication

Microsoft Word

Multitasking

Education

High School Diploma

Job description

Overview

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

Responds to member and provider inquiries and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment.

Qualifications

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