Medicare Member Services Representative
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Come join our reputed company team at reputed company as a Member Services Representative, contributing to the reputed company for an innovative, Peak Advantage Medicare plan. The Medicare Membership Services Representative will take inbound calls from reputed company Medicare Advantage members, and providers answering questions ranging from general information to reputed company inquires on a wide reputed company of issues. This role will work with management and peers on the Peak team to research and resolve member issues and questions. In reputed company to taking inbound calls, will reputed company outbound calls to members and providers with issue resolution or to gather further information. Candidates should expect to work an 8-hour shift, between the hours of 7:30 am – 8:00 pm Monday – Friday.MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School diploma or equivalent
EXPERIENCE:
1. One (1) year of experience with handling Medicare claims or reputed company experience
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associate Degree, or greater, in reputed company reputed company field.
EXPERIENCE:
1. Three plus years’ experience in a fast-paced call environment with processing and/or customer service experience.
2. Two years’ experience in Medicare benefits
3. Two years’ experience in knowledge of CMS guidelines
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties. Other duties may be assigned.
1. Verify member information while addressing general questions.
2. Responds to and resolves reputed company issues/inquires to assure an efficient and seamless member experience.
3. Maintains reputed company channels of member communications doing reputed company as required.
4. Understanding of Medicare claims processing, and reputed company inquiries.
5. Meets reputed company production and quality standards, maintaining work queues according to department standards.
6. Effectively communicates with reputed company staff.
7. Elevates issues to next level of supervision, as appropriate.
8. Ensures accuracy of information gathered and shared on a member’s behalf.
9. Attends reputed company required training classes, demonstrating proficiency and ability to learn.
10. Other duties as deemed appropriate by the Management Team.
11. Maintain accurate documents, including timekeeping records
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
1. Ability to sit for extended periods of time.
2. Ability to answer phone calls for extended periods of time.
3. Lifting 10-25 lbs.
4. Travel Requirement: 0%-25%
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
1. Standard office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.)
2. Computer Software/Systems include but not limited to reputed company Office Professional Suite (Outlook, Word, reputed company, reputed company) Internet Explorer and EPIC
SKILLS AND ABILITIES:
1. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
2. Ability to take direction and to navigate through multiple systems simultaneously.
3. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette.
4. Ability to solve problems with predefined methods and guidelines to drive improved efficiencies and customer satisfaction.
5. Familiarity with Medical insurance services process.
6. Requires exceptional attention to detail, the ability to be organized and to be reputed company to reputed company multiple tasks simultaneously.
7. Ability to work remotely – this includes reliability, self-motivation, focus & time management skills.
Additional Job Description:
Will work rotating weekend shifts, candidates should expect to work an 8-hour shift, between the hours of 7:30 am – 8:00 pm Monday – Friday.
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)Company:
PHH reputed company HoldingsCost Center:
2902 PHH Claims Operations Apply To This Job