Member Services Representative

1 week ago


Irving, Texas, United States CornerStone Staffing Full time

Do you have health insurance experience in a call center environment? Are you looking to start a CAREER with a TOP 10 Healthcare System in the U.S. and Internationally?Apply today

Job Title: Member Services Representative

Location: Irving, TX | ON-SITE

Pay: $ /hr. (based on experience)

Schedule: Must be available Monday Friday 8am to 5pm

Duration: Long-Term Contract

Job Duties:

The Customer Service Representative answers all incoming calls from sponsors, members, and providers, researches claim status, and assists in bringing resolution to claim problems.

This position is also responsible for maintaining positive relationships with physicians, providers, and practice managers within the provider network.

  • Provides high quality service daily to all callers.
  • Assists with special projects as assigned.
  • Answer incoming calls from members and providers and establishing/maintaining good rapport while balancing 2-3 phone queues
  • Provide accurate information regarding eligibility, benefit verification, network and contract status to callers
  • Provide information to callers concerning claims questions, research as necessary to assist in resolving issues related to claims reimbursement
  • Document accurate information

Qualifications/Requirements:

  • Minimum of 1-2 years of RECENT experience in the health insurance industry required (call center)
  • Must be willing to get the flu vaccination during flu season.
  • High School Diploma or GED is required

Application Process Includes:

  • Drug testing
  • Background check
  • Basic Clerical testing and reference checks


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