Member Services Representative

MJHS; New York (NY); On-site; USD 32,000 - 52,000; Full time

Job summary

MJHS is seeking a call center professional to respond to member and provider inquiries about benefits, claims, and complaints within our New York call center. You will receive calls, document details, and assist with disenrollment requests in a fast-paced, patient-focused environment.

Candidates should have a High School Diploma, at least six months of call center experience, and strong telephone communication skills with a professional demeanor.

Qualifications

• High School Diploma required.
• Six months call center experience preferred.
• Excellent telephone communication and professional demeanor.

Responsibilities

• Responds to member and provider inquiries concerning benefits, claims, and complaints in a call center.
• Receives calls from members and providers and records details of each contact.
• Responds to customer complaints and grievances and processes adjustments on claim issues.
• Receives requests for disenrollment.

Skills

Telephone communication

Professional demeanor

Multitasking

Education

High School Diploma

Tools

Microsoft Word

Job description

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)