Member Services Representative- P/T
5 months ago
Full Job Description
Job Type: Part-time
Pay: $21.00 per hour
Job purpose ***This is an in-office position***
The Member Services Representative is responsible for assisting Members, Providers, and Health Plan staff by providing accurate answers to questions regarding the Health Plan in a timely and courteous manner. The Member Care Professional may also facilitate the process for Health-Education related activities and other Health Plan functions and events.
Duties and responsibilities
- Answers Member/Provider telephone inquiries via ACD phone system.
- Always maintains professional and courteous telephone etiquette, based on Sonder's core values.
- Logs all calls in Salesforce (CRM platform).
- Provides status on claims, prior authorizations, and eligibility to Members and Providers.
- Facilitate phone conversations with the Member and/or Provider.
- Assist Members with but not limited to (benefits, PCP lookup, appointment setting, scheduling transportation, and documenting Grievance and/or appeals).
- Follow up on resolution of inquiries and communicating to all parties involved, in a timely and professional manner.
- Attends Customer Service & staff training, as required.
- Assists and supports other Member Services Department staff, as needed.
- Maintains and keeps in total confidentiality, all files, documents, and records that pertain to the operation of business of the Health Plan.
- All other job-related duties as it relates to the job function or as delegated by the management team.
Required
- Three-five years minimum Member/Provider service experience in a healthcare environment.
- Excellent verbal and written communication skills.
- Excellent organization skills with ability to handle multiple tasks and prioritize work in a fast-paced environment.
- Three - five-year minimum ACD or comparable multi-line call center experience.
- Computer literate with high proficiency in Microsoft applications.
- The knowledge, skills and abilities typically acquired through the completion of an associate's degree.
- Extensive Medicare experience.
- Familiar with start-up companies.
- Familiar with CMS regulations.
- Bilingual (English/Spanish).
Pay: $21.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Various shifts
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Atlanta, GA 30339: Reliably commute or planning to relocate before starting work (Required)
- Do you have Medicare Advantage insurance experience?
- Claims: 1 year (Preferred)
- Medicare Advantage: 1 year (Preferred)
-
Wireless Service Specialist
2 days ago
Atlanta, Georgia, United States T-Mobile Full timeAbout T-MobileT-Mobile is a leading wireless service provider that invests in its employees, offering a competitive base salary and compensation package. Our Total Rewards Package ensures that employees receive a fair compensation for their work. All team members enjoy multiple wealth-building opportunities through our annual stock grant, employee stock...
-
Sales Consultant for Customer Experience
7 days ago
Atlanta, Georgia, United States AT&T Full timeJob Overview:We are seeking a skilled Sales Consultant to join our team in Atlanta, Georgia. As a Field Sales Representative at AT&T, you will play a crucial role in delivering exceptional customer experiences and driving sales growth.About the Role:This is a challenging yet rewarding opportunity for a motivated individual to work independently in the field,...
-
Universal Member Service Representative
1 week ago
Atlanta, United States Pinnacle Credit Union Full timeJob Description: Universal Member Service RepresentativeLocation: 2357 Benjamin E. Mays Dr. SW Atlanta GA 30311Job Type: Full-TimeSalary: $16-$18 per hourPosition Overview:As a Universal Member Service Representative, you will be responsible for providing excellent customer service to our members and assisting them with their financial needs. This position...
-
Mobile Associate
1 month ago
Atlanta, United States T-Mobile Full timeT-Mobile - 4400 Ashford Dunwoody Rd 2667 [Sales Associate / Team Member] As a Mobile Associate at T-Mobile, you'll: Help customers pick up right where they left off in their shopping journey, whether online, through Customer Care or in-store; Explore individual needs and provide hands-on demonstrations of the latest and greatest technology in-store; Perform...
-
Financial Services Representative
7 days ago
Atlanta, Georgia, United States Pinnacle Credit Union Full timeWe are seeking a highly skilled Financial Services Representative to join our team as a Member Engagement Specialist. In this role, you will be responsible for providing exceptional customer service to our members and assisting them with their financial needs.As a key member of our team, you will play a vital role in ensuring member satisfaction and...
-
Commercial Lending Relationship Developer
6 days ago
Atlanta, Georgia, United States Member Business Financial Services Full timeJob OverviewAt Member Business Financial Services LLC, we are seeking an experienced Commercial Lending Relationship Developer to join our team. This role is based in the greater Atlanta area and involves working with local businesses to provide commercial lending services.About the RoleThe primary responsibility of this position is to work with prospective...
-
Member Service Representative
1 week ago
Atlanta, United States Navy Federal Credit Union Full timeOverview To provide members and prospective members the full range of products and services offered by Navy Federal Credit Union including depository accounts such as checking, savings, certificate IRA, revocable trust and estate accounts; Lending products; and credit/debit cards. To perform moderately complex platform banking functions under supervision....
-
Retail Sales Consultant
6 months ago
Atlanta, United States AT&T Full time**Job Description:** Its time to take your sales career to the next level. Every day youll be at the center of it all. Your goal? Create meaningful connections with every customer, with your personalized sales expertise. Meeting sales targets and earning your commission happens with the power of AT&Ts full suite of products at your fingertips the latest...
-
Member Service Representative
3 months ago
Atlanta, United States Sonder Health Plans, Inc. Full timeFull Job Description Job Type: Full-time Pay Range: $23.00 - $25.00 per hour Job purpose ***This is an in-office position*** The Member Services Professional is responsible for assisting Members, Providers, and Health Plan staff by providing accurate answers to questions regarding the Health Plan in a timely and courteous manner. The Member Care Professional...
-
Member Services Representative
7 days ago
Atlanta, United States Sonder Health Plans Full timeFull Job Description Job Type: Part-time Pay: $21.00 to $24.00 per hour Job purpose *This is an in-office position* The Member Services Representative is responsible for assisting Members, Providers, and Health Plan staff by providing accurate answers to questions regarding the Health Plan in a timely and courteous manner. The Member Care Professional...
-
Member Experience Representative
6 days ago
Atlanta, Georgia, United States Sonder Health Plans Full timeAbout the RoleSonder Health Plans is seeking an experienced Member Experience Representative to join our team. As a key member of our customer service department, you will play a vital role in ensuring our members receive exceptional support and care.**Key Responsibilities:**Respond to member inquiries via phone, prioritizing timely and effective...
-
Member Service Representative
7 days ago
Atlanta, United States Sonder Health Plans Full timeFull Job Description Job Type: Full-time Pay Range: $23.00 $25.00 per hour Job purpose *This is an in-office position* The Member Services Professional is responsible for assisting Members, Providers, and Health Plan staff by providing accurate answers to questions regarding the Health Plan in a timely and courteous manner. The Member Care Professional...
-
Atlanta, Georgia, United States T-Mobile Full timeAt T-Mobile, we prioritize employee growth and development. Our Total Rewards Package ensures that employees receive a competitive base salary and compensation package, along with multiple wealth-building opportunities through our annual stock grant, employee stock purchase plan, 401(k), and access to free, year-round money coaches.The Sr. Account Executive,...
-
Customer Service Representative
6 days ago
Atlanta, Georgia, United States The Law Offices of Kanner & Pintaluga P A Full timeCompelling Opportunity for a Dedicated Customer Service RepresentativeWe are seeking a highly motivated and passionate Customer Service Representative to join our dynamic team at The Law Offices of Kanner & Pintaluga P A in Atlanta, GA. This role is a key position within our Personal Injury department, responsible for managing client interactions and...
-
Senior Software Architecture Lead
2 days ago
Atlanta, Georgia, United States AT&T Full timeAT&T is seeking an experienced Senior Software Architecture Lead to join our team. This role will play a critical part in the development of innovative solutions.Estimated Salary: $175,000 - $225,000 per yearAbout AT&TAs one of the leading technology companies in the world, AT&T is constantly pushing the boundaries of innovation and excellence.Job...
-
Customer Service Ambassador
6 days ago
Atlanta, Georgia, United States Chick-fil-A at Peachtree Center & AT&T Center Full timeCompany OverviewWe are a quick service restaurant, Chick-fil-A at Peachtree Center & AT&T Center, dedicated to providing an exceptional experience for our guests. Our team members are the face of our brand, and we expect them to embody our core values of Contribute, Care, and Be Proactive.Salary RangeThe estimated annual salary for this position is...
-
Business Development Representative
6 days ago
Atlanta, Georgia, United States DMC Full timeJob OverviewWe are seeking a highly motivated Business Development Representative to join our team at DMC Atlanta, an authorized dealer of AT&T technologies.This is an entry-level and full-time sales position that offers unlimited growth opportunities for ambitious individuals who want to progress from sales to running one of our locations.The ideal...
-
Member Services Rep
6 days ago
Atlanta, United States Prestige Staffing - Healthcare Jobs - Revenue Cycle Full timeJob DescriptionJob DescriptionJobID: 48122Member Services Representative Location: Sandy Springs/ Smyrna area (30339)Shift: Monday-Friday 8am-5pmWeekend shifts will be remote.Job Type: 3 month temp with possibility of going permanent Starting Pay: 20/hr.+Prestige Staffing is currently searching for a call center Member Service Representative in Smyrna,...
-
Oracle T&L
3 weeks ago
Atlanta, United States Diverse Lynx Full timeOracle T&L Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and...
-
Customer Service Representative
6 days ago
Atlanta, Georgia, United States Greenlight Financial Technology Inc Full timeJob Title:Customer Service RepresentativeAbout the Role:We are seeking a highly skilled Customer Service Representative to join our team at Greenlight Financial Technology Inc. As a key member of our support team, you will be responsible for providing exceptional customer service to our clients via phone and email.About You:You have excellent communication...