Member Services Representative

MJHS; New York (NY); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

MJHS in New York, NY is seeking a patient-focused call center associate to respond to member and provider inquiries about benefits, claims, and complaints. You will handle calls in a busy environment, record details, and assist with disenrollment requests.

This role emphasizes accuracy, empathy, and strong communication. Qualified candidates will have a high school diploma, at least 6 months of call center experience, and proficiency in Microsoft Word.

Qualifikationen

• High School Diploma required.
• Minimum 6 months call center experience.
• Proficiency in Microsoft Word.
• Strong telephone communication and professional demeanor; ability to multitask in a fast-paced environment.

Aufgaben

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

Kenntnisse

Telephone communication

Professional demeanor

Multitasking in fast-paced environment

Call center experience

Ausbildung

High School Diploma

Tools

Microsoft Word

Jobbeschreibung

Come lead with us at New York, NY

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.

Responds to member and provider inquires 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.

• 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
• Must live in the tri-state area (New York, New Jersey, Connecticut, and/or some parts of Pennsylvania)