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Member Services Representative

4 months ago


Woodland Hills, United States MedPOINT Management Full time

**Summary**:
Responsible for assisting members with questions regarding authorizations and providers. Representatives will also be responsible for logging calls to summarize the issue, follow up and resolution.

**Duties and Responsibilities**:

- Answer inbound calls from members and assists them with questions regarding authorizations, provider selection and other issues.
- Learns IPA business rules and assists with basic authorization set up.
- Actively performs transactions in response to member requests and displays professional telephone etiquette.
- Work with specialists, PCPs and ancillary providers to assist with scheduling members for above services when necessary.
- Consistently meets deadlines and service level requirements for hold time and call volume.
- Demonstrates ability to use the computer to perform job functions.
- Asks for assistance, when necessary, to handle more complex issues.
- Displays flexibility to perform administrative and non-telecommunication duties as needed.
- Actively participates in self-development programs.

**Minimum Job Requirements**:

- High School graduate or GED equivalent
- One year working in a call center environment; health care environment preferred
- Ability to work varying shifts if requested to assist in increasing patient outreach

**Skills and Abilities Required**:

- Effective verbal and written communication skills and effective interpersonal skills
- Ability to work well in a busy environment
- Able to stay focused on the telephone even with noise and other distractions
- Bilingual (Spanish and English) preferred
- Minimum or higher proficiency level with Microsoft Office programs; primarily Word and Excel 2013 or higher
- EZ-CAP knowledge a plus

**Salary Range**:

- $19-$21/hour