Member Services Representative

Employer
Ultimate
Location
Linthicum Heights, MD
Posted
Oct 14, 2021
Closes
Oct 16, 2021
Ref
143237547
Function
Accountant, IT
Industry
Other
Hours
Full Time
Ultimate Staffing is looking for Member Services Representatives to work for a growing Healthcare company in Linthicum, MD! This is an in-office position, offering 8-5pm or 3-11pm shifts and is temp-to-hire! Paying between $18-$20/hr! We are looking for candidates who have healthcare or insurance call center experience! Does this sound like you?! Apply today!! The Member Services Representative is responsible for receiving, answering, and/or resolving calls received through a Call Center. The Call Center receives phone calls from insured's and their dependents, providers and their staff, employer/group staff, and brokers. The MSR will use companies Claims / Eligibility database to inquire on the status of claims, ID cards, addresses, and other issues as queried by the caller. The MSR is the primary source for issuing authorizations when eligible for services. In addition, the MSR performs duties consistent with customer/provider service. Essential Functions Provide timely and accurate information to basic incoming customer calls from members, providers, and other external and internal constituents including: Issuing authorizations Handling claim inquiries from providers and members Communicate the correct information regarding accessibility, claims status and other calls of a service nature Providing benefits information Process customer claims according to established department policies and procedures Checking voicemail boxes and handling customer/provider requests for: ID cards Authorizations Customer Service questions and issues Fulfill rapid call volume by handling the appropriate amount of calls coming into the call center daily. Complete Provider Relations requests for service Provide timely feedback to the company regarding customer service failures and/or customer/provider concerns Partner with Sales and Provider Relations to meet and exceed customers' expectations Provide excellent customer service and handle all customers in a professional and courteous manner Perform other related duties as assigned Education & Experience High school graduate or equivalent is mandatory. Business related college courses preferred Two years customer service or call center experience Two years of experience in the health care industry or insurance environment preferred Strong computer and technical skills to support heavy key data entry We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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